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Organization
HOLY REDEEMER AMBULATORY SURGERY CENTER, LLC
Active
Organization
HOLY REDEEMER AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL R. WAGNER (ASST TREASURER)
(215) 856-1114
Entity
Organization
Contact information
Practice address
821 HUNTINGDON PIKE, SUITE 100, HUNTINGDON VALLEY, PA 19006-8365
(215) 214-0500
(215) 214-0566
Mailing address
821 HUNTINGDON PIKE, SUITE 100, HUNTINGDON VALLEY, PA 19006-8365
(215) 214-0500
(215) 214-0566
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11251500
PA
Other
Enumeration date
10/27/2005
Last updated
01/31/2013
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