Organization
BALA ASC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA DUGAN (MANAGER)
(610) 667-3020
Entity
Organization
Contact information
Practice address
1 PRESIDENTIAL BLVD STE 100, BALA CYNWYD, PA 19004-1015
(610) 667-3020
(610) 667-1817
Mailing address
1 PRESIDENTIAL BLVD STE 100, BALA CYNWYD, PA 19004-1015
(610) 667-3020
(610) 667-1817
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
08/29/2022
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