Organization
CROSSROADS SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELA M SHADE (BILLER)
(717) 859-5064
Entity
Organization
Contact information
Practice address
4150 BARRETT BOULEVARD, EPHRATA, PA 17522
(717) 859-4300
(717) 859-4301
Mailing address
4150 BARRETT BOULEVARD, EPHRATA, PA 17522
(717) 859-4300
(717) 859-4301
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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