Organization
M&M SURGICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA MILICI DMD (MEDICAL DIRECTOR)
(215) 389-3161
Entity
Organization
Contact information
Practice address
1 CRESCENT DR. SUITE 300, PHILADELPHIA, PA 19112
(215) 389-3161
Mailing address
1 CRESCENT DR. SUITE 300, PHILADELPHIA, PA 19112
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
115913
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115913
ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CARE, INC.
PA
Enumeration date
09/05/2017
Last updated
09/05/2017
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