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Organization
EAST FREEDOM SURGICAL ASSOCIATES, LLC
Active
Organization
EAST FREEDOM SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA BURKE (CFO)
(814) 623-0552
Entity
Organization
Contact information
Practice address
15721 DUNNINGS HWY, DUNCANSVILLE, PA 16635
(814) 623-0552
Mailing address
202 MEMORIAL DR STE 2, EVERETT, PA 15537-7057
(814) 935-8309
(814) 623-0752
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
OS007645L
PA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/25/2018
Last updated
08/17/2018
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