# SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, LLC

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

## Provider details

- **NPI number:** 1245233410
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 190 WELLES ST, FORTY FORT, PA 18704-4968
- **Practice address phone:** (570) 331-7615
- **Practice address fax:** (570) 331-7614
- **Mailing address:** 1A BURTON HILLS BLVD \# L&C, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 240-3820
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 148601 | PA | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 12/14/2022