Organization
PHILADELPHIA SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER INGRAM (ADMINISTRATOR)
(267) 455-4855
Entity
Organization
Contact information
Practice address
8400 ROOSEVELT BLVD # 100, PHILADELPHIA, PA 19152-2081
(111) 111-1111
Mailing address
8400 ROOSEVELT BLVD # 100, PHILADELPHIA, PA 19152-2081
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/31/2026
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