Organization
VALLEY ADVANCED GAMMA KNIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GABRIEL (PRINCIPAL)
(317) 634-2222
Entity
Organization
Contact information
Practice address
2407 BUTLER ST, EASTON, PA 18042-5302
(610) 253-7444
(610) 253-5771
Mailing address
PO BOX 12848, PHILADELPHIA, PA 19101-0848
(610) 253-7444
(610) 253-5771
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2005
Last updated
08/22/2020
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