Organization
THE CENTER FOR SPECIALIZED SURGERY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MACOMBER (CFO)
(312) 664-4100
Entity
Organization
Contact information
Practice address
2851 BAGLYOS CIR, SUITE 100, BETHLEHEM, PA 18020-8038
(484) 821-0550
(484) 821-0559
Mailing address
8164 RELIABLE PKWY, CHICAGO, IL 60686-0001
(484) 821-0550
(484) 821-0559
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017725980001
—
PA
01
—
P00336342
RAILROAD MEDICARE PTAN
PA
Enumeration date
08/31/2006
Last updated
08/02/2011
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