Organization
SALLY K BALIN AMBULATORY SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETTA PRATT MD (ADMINISTRATOR)
(610) 565-3300
Entity
Organization
Contact information
Practice address
110 CHESLEY DR, MEDIA, PA 19063-1755
(610) 892-0300
(610) 565-9909
Mailing address
110 CHESLEY DR, MEDIA, PA 19063-1755
(610) 892-0300
(610) 565-9909
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
09421500
PA
Other
Enumeration date
08/15/2005
Last updated
02/11/2012
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