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Organization

GRANT SURGICENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN BAILEY MD (OFFICER/AO)
(203) 609-1168
Entity
Organization

Contact information

Practice address
2000 GRANT AVE, PHILADELPHIA, PA 19115-7287
(215) 992-6000
(215) 992-6001
Mailing address
2000 GRANT AVE, PHILADELPHIA, PA 19115-7287
(215) 992-6000
(215) 992-6001

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PA

Other

Enumeration date
11/30/2010
Last updated
10/07/2024
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