Organization
MONTGOMERY SURGERY CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS S NOWINSKI MD (MEDICAL DIRECTOR)
(215) 412-9115
Entity
Organization
Contact information
Practice address
1000 N BROAD ST, SUITE2, LANSDALE, PA 19446-1138
(215) 412-9115
(215) 412-0488
Mailing address
1000 N BROAD ST, SUITE2, LANSDALE, PA 19446-1138
(215) 412-9115
(215) 412-0488
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
15231501
PA
Other
Enumeration date
09/29/2005
Last updated
02/28/2008
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