Organization
HOLY REDEEMER AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL R. WAGNER (ASST TREASURER)
(215) 856-1114
Entity
Organization
Contact information
Practice address
821 HUNTINGDON PIKE, SUITE 100, HUNTINGDON VALLEY, PA 19006-8365
(215) 214-0500
(215) 214-0566
Mailing address
821 HUNTINGDON PIKE, SUITE 100, HUNTINGDON VALLEY, PA 19006-8365
(215) 214-0500
(215) 214-0566
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11251500
PA
Other
Enumeration date
10/27/2005
Last updated
01/31/2013
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