Organization
WEST SHORE SURGERY, LTD
Active
Other names
West Shore Surgery Center, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M PUCHALSKY RN (ADMINISTRATOR)
(717) 791-2506
Entity
Organization
Contact information
Practice address
2015 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-9497
(717) 791-2506
Mailing address
2015 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-9497
(717) 791-2506
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
12371501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01838884
—
PA
01
—
140655
UNITED HEALTHCARE
PA
01
—
1519134
GATEWAY
PA
01
—
1603
HIGHMARK BLUE SHIELD
PA
01
—
390830
KEYSTONE SENIOR BLUE
PA
Enumeration date
04/28/2006
Last updated
07/02/2024
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