Organization
ADVANCED SPECIALTY SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LYNN RICCA (CEO)
(610) 628-4243
Entity
Organization
Contact information
Practice address
124 N NARBERTH AVE, NARBERTH, PA 19072-2211
(484) 434-7500
(484) 434-7501
Mailing address
PO BOX 358, DOUGLASSVILLE, PA 19518-0358
(610) 628-4243
(215) 628-2704
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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