# VALLEY ADVANCED GAMMA KNIFE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043294820
- **Authorized official:** MR. MARK GABRIEL (PRINCIPAL)
- **Authorized official phone:** (317) 634-2222

## Contact information

- **Practice address:** 2407 BUTLER ST, EASTON, PA 18042-5302
- **Practice address phone:** (610) 253-7444
- **Practice address fax:** (610) 253-5771
- **Mailing address:** PO BOX 12848, PHILADELPHIA, PA 19101-0848
- **Mailing address phone:** (610) 253-7444
- **Mailing address fax:** (610) 253-5771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 08/22/2020