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Organization
FORT WASHINGTON SURGERY CENTER, LLC
Active
Organization
FORT WASHINGTON SURGERY CENTER, LLC
Active
Other names
The Surgery Center at Fort Washington
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LYNN RICCA (ADMINISTRATOR)
(215) 628-4300
Entity
Organization
Contact information
Practice address
467 PENNSYLVANIA AVE STE 108, FORT WASHINGTON, PA 19034-3420
(215) 628-4300
Mailing address
467 PENNSYLVANIA AVE STE 108, FORT WASHINGTON, PA 19034-3420
(215) 628-4300
(215) 628-2704
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
55551500
PA
Other
Enumeration date
08/09/2005
Last updated
11/22/2017
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