# EAST FREEDOM SURGICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1558859645
- **Authorized official:** MRS. TINA BURKE (CFO)
- **Authorized official phone:** (814) 623-0552

## Contact information

- **Practice address:** 15721 DUNNINGS HWY, DUNCANSVILLE, PA 16635
- **Practice address phone:** (814) 623-0552
- **Mailing address:** 202 MEMORIAL DR STE 2, EVERETT, PA 15537-7057
- **Mailing address phone:** (814) 935-8309
- **Mailing address fax:** (814) 623-0752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | OS007645L | PA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2018
- **Last updated:** 08/17/2018