Organization
COTTMAN AMBULATORY SURGERY CENTER
Active
Other names
Wills Surgery Center of the Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TUSO (ADMINISTRATOR)
(215) 332-7500
Entity
Organization
Contact information
Practice address
8400 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2012
(215) 332-7500
(215) 332-7501
Mailing address
8400 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2012
(215) 332-7500
(215) 332-7501
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
29821500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015764400002
—
PA
01
—
490002955
RAILROAD MEDICARE
PA
Enumeration date
10/26/2006
Last updated
04/14/2023
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