Organization
DELAWARE VALLEY MEDICAL MANAGEMENT
Active
Other names
Delaware Valley Orthopedic and Spine Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORES DEBRUCE (BUSINESS OFFICE MANAGER)
(610) 949-7132
Entity
Organization
Contact information
Practice address
100 PRESIDENTIAL BLVD, 4TH FLOOR, BALA CYNWYD, PA 19004-1108
(610) 664-2122
(610) 664-2315
Mailing address
100 PRESIDENTIAL BLVD, 4TH FLOOR, BALA CYNWYD, PA 19004-1108
(610) 664-2122
(610) 664-2315
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
01161501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001596000
IBC
PA
05
—
0077845390002
—
PA
01
—
060767
WORKER'S COMPENSATION
PA
01
—
10586
ELDER HEALTH
PA
01
—
2969665
AETNA
PA
01
—
30016469
KEYSTONE MERCY
PA
01
—
35243
HEALTH PARTNERS
PA
Enumeration date
07/11/2005
Last updated
08/22/2020
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