Organization
HANOVER SURGICENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE A FAKE R.N. (ADMINISTRATOR)
(717) 637-1600
Entity
Organization
Contact information
Practice address
250 FAME AVE, SUITE 130, HANOVER, PA 17331-1587
(717) 633-1600
(717) 633-6556
Mailing address
250 FAME AVE, SUIE 130, HANOVER, PA 17331-1587
(717) 633-1600
(717) 633-6556
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
01681500
PA
Other
Enumeration date
08/15/2005
Last updated
03/19/2010
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