Organization
COMMONWEALTH SURGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP L RICE M.D. (PRESIDENT)
(814) 238-2616
Entity
Organization
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(814) 238-2616
(814) 238-0541
Mailing address
100 RADNOR RD, SUITE 201, STATE COLLEGE, PA 16801-7986
(814) 238-2616
(814) 238-0541
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD060088L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016582690003
—
PA
Enumeration date
03/20/2007
Last updated
05/31/2011
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