# TREVOSE SPECIALTY CARE SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1740448711
- **Authorized official:** STEVEN ROSEN MD (MANAGING PARTNER)
- **Authorized official phone:** (267) 684-6047

## Contact information

- **Practice address:** 4979 OLD STREET RD, TREVOSE, PA 19053-6222
- **Practice address phone:** (267) 684-6047
- **Practice address fax:** (267) 684-6056
- **Mailing address:** 4979 OLD STREET RD, TREVOSE, PA 19053-6222
- **Mailing address phone:** (267) 684-6047
- **Mailing address fax:** (267) 684-6056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 22411501 | PA | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 06/21/2018