Organization
KING OF PRUSSIA SURGERY CENTER, LLC
Active
Other names
King of Prussia Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW O'MALLEY (PRESIDENT, BOARD OF MANAGERS)
(610) 798-6054
Entity
Organization
Contact information
Practice address
950 PULASKI DR STE 140, KING OF PRUSSIA, PA 19406-2802
(215) 521-3030
Mailing address
950 PULASKI DR STE 140, KING OF PRUSSIA, PA 19406-2802
(215) 521-3030
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
10/21/2019
Last updated
06/24/2021
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