# THE PENNSYLVANIA SURGERY AND LASER CENTER LLC

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

## Provider details

- **NPI number:** 1154787117
- **Authorized official:** HEATHER RAUCH RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 821-3131

## Contact information

- **Practice address:** 601 FRANKLIN MILLS CIR, PHILADELPHIA, PA 19154-3124
- **Practice address phone:** (215) 821-3131
- **Mailing address:** PO BOX 98, BENSALEM, PA 19020-0098
- **Mailing address phone:** (215) 272-8320

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2016
- **Last updated:** 04/21/2020