# PHILADELPHIA SURGICAL, LLC

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

## Provider details

- **NPI number:** 1225977267
- **Authorized official:** MR. ALEXANDER INGRAM (ADMINISTRATOR)
- **Authorized official phone:** (267) 455-4855

## Contact information

- **Practice address:** 8400 ROOSEVELT BLVD \# 100, PHILADELPHIA, PA 19152-2081
- **Practice address phone:** (111) 111-1111
- **Mailing address:** 8400 ROOSEVELT BLVD \# 100, PHILADELPHIA, PA 19152-2081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2026
- **Last updated:** 03/31/2026