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Organization
SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC
Active
Organization
SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 331-7615
(570) 331-7614
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
148601
PA
Other
Enumeration date
05/23/2005
Last updated
12/14/2022
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