Organization
PENNSYLVANIA SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HILLARY A INGRAM (OFFICE MANAGER)
(215) 829-7495
Entity
Organization
Contact information
Practice address
301 S 8TH ST, SUITE 4A, PHILADELPHIA, PA 19106-4000
(215) 829-8455
(215) 829-8454
Mailing address
301 S 8TH ST, SUITE 4A, PHILADELPHIA, PA 19106-4000
(215) 829-8455
(215) 829-8454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD010352E
PA
174400000X
Specialist
MD037959E
PA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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