Organization
RED LION SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA AARON BRESLER (OWNER)
(215) 483-6633
Entity
Organization
Contact information
Practice address
240 GEIGER RD, PHILADELPHIA, PA 19115-1008
(215) 464-2411
Mailing address
240 GEIGER RD, PHILADELPHIA, PA 19115-1008
(215) 464-2411
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019392620001
—
PA
Enumeration date
09/25/2006
Last updated
11/25/2019
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