# MONTGOMERY SURGERY CENTER LLC.

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

## Provider details

- **NPI number:** 1164419842
- **Authorized official:** THADDEUS S NOWINSKI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (215) 412-9115

## Contact information

- **Practice address:** 1000 N BROAD ST, SUITE2, LANSDALE, PA 19446-1138
- **Practice address phone:** (215) 412-9115
- **Practice address fax:** (215) 412-0488
- **Mailing address:** 1000 N BROAD ST, SUITE2, LANSDALE, PA 19446-1138
- **Mailing address phone:** (215) 412-9115
- **Mailing address fax:** (215) 412-0488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 15231501 | PA | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 02/28/2008