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Organization
LIBERTY EYE SURGICAL CENTER LLC
Active
Organization
LIBERTY EYE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS SLOCHOWER M.D. (MEDICAL DIRECTOR)
(215) 673-9231
Entity
Organization
Contact information
Practice address
9122 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 673-9231
(215) 673-9236
Mailing address
9122 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 673-9231
(215) 673-9236
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
17401501
PA
Other
Enumeration date
05/02/2006
Last updated
12/09/2010
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