Organization
PENN SURGERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MATHEWS MD (MEDICAL DIRECTOR)
(717) 299-3524
Entity
Organization
Contact information
Practice address
554 N DUKE ST, LANCASTER, PA 17602-2225
(717) 299-3524
(717) 299-3552
Mailing address
554 N DUKE ST, LANCASTER, PA 17602-2225
(717) 299-3524
(717) 299-3552
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10651500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10651500
STATE LICENSE NUMBER
PA
Enumeration date
06/19/2006
Last updated
08/22/2020
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