# DELAWARE VALLEY SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1851743074
- **Authorized official:** DR. GEORGE TALIADOUROS MD (MANAGER)
- **Authorized official phone:** (856) 988-0072

## Contact information

- **Practice address:** 6000 SAGEMORE DR, SUITE 6103, MARLTON, NJ 08053-3900
- **Practice address phone:** (856) 988-0072
- **Practice address fax:** (856) 988-7308
- **Mailing address:** 6000 SAGEMORE DR, SUITE 6103, MARLTON, NJ 08053-3900
- **Mailing address phone:** (856) 988-0072
- **Mailing address fax:** (856) 988-7308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | NJR24708 | NJ | Yes |

## Other

- **Enumeration date:** 07/12/2016
- **Last updated:** 07/12/2016
