Organization
COSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HEYDT RN (ADMINISTRATOR)
(610) 633-1689
Entity
Organization
Contact information
Practice address
789 E. LANCASTER AVE, SUITE 150, VILLANOVA, PA 19085
(000) 000-0000
Mailing address
789 E LANCASTER AVE STE 150, VILLANOVA, PA 19085-1521
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
11/18/2025
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