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Organization
AMBULATORY SURGERY CENTER OF BALA CYNWYD, LLC
Active
Organization
AMBULATORY SURGERY CENTER OF BALA CYNWYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THOMAS TRICOLI ESQ. (COUNSEL)
(407) 947-3084
Entity
Organization
Contact information
Practice address
100 PRESIDENTIAL BLVD FL 4, BALA CYNWYD, PA 19004-1108
(407) 960-7990
(321) 972-4252
Mailing address
660 PALM SPRINGS DR STE C, ALTAMONTE SPRINGS, FL 32701-7864
(407) 960-7990
(321) 972-4252
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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