Organization
JEFFERSON AMBULATORY SURGERY SERVICES, LLC
Active
Parent organization
JEFFERSON AMBULATORY SURGERY SERVICES, LLC
Other names
Jefferson Surgery Center - Torresdale
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON AMBULATORY SURGERY SERVICES, LLC
Authorized official
WILLIAM GAVIGAN (MANAGEMENT MEMBER)
(615) 397-9187
Entity
Organization
Contact information
Practice address
3998 RED LION RD STE 242, PHILADELPHIA, PA 19114-1441
(215) 341-1944
Mailing address
10800 KNIGHTS RD STE 242, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
08/26/2024
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