# ADVANCED SURGICAL AMBULATORY PARTNERS OF HAVERTOWN

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

## Provider details

- **NPI number:** 1831803345
- **Authorized official:** AMANDA RICCA (CEO)
- **Authorized official phone:** (215) 651-8180

## Contact information

- **Practice address:** 700 E TOWNSHIP LINE RD FL 2, HAVERTOWN, PA 19083-5733
- **Practice address phone:** (484) 434-7500
- **Practice address fax:** (484) 434-7501
- **Mailing address:** PO BOX 358, DOUGLASSVILLE, PA 19518-0358
- **Mailing address phone:** (484) 434-7500
- **Mailing address fax:** (484) 434-7501

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2023
- **Last updated:** 01/09/2023