Organization
PINE GROVE AMBULATORY SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILEE S LANGER MPH (EXECUTIVE DIRECTOR)
(814) 688-0426
Entity
Organization
Contact information
Practice address
10 TIMBERVIEW LANE, RUSSELL, PA 16345
(814) 757-5819
(814) 757-5829
Mailing address
10 TIMBERVIEW LANE, RUSSELL, PA 16345
(814) 757-5819
(814) 757-5829
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
02/19/2008
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