# STADIUM CAMPUS AMBULATORY SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wills Eye Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679658710
- **Authorized official:** MR. JOSEPH BILSON (PRESIDENT)
- **Authorized official phone:** (215) 440-3152

## Contact information

- **Practice address:** 3340 S BROAD ST, PHILADELPHIA, PA 19145-5802
- **Practice address phone:** (215) 463-1900
- **Mailing address:** 3340 S BROAD ST, PHILADELPHIA, PA 19145-5802
- **Mailing address phone:** (215) 463-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 11381500 | PA | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020