Organization
FORT WASHINGTON SURGERY CENTER, LLC
Active
Other names
The Surgery Center at Fort Washington
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LYNN RICCA (ADMINISTRATOR)
(215) 628-4300
Entity
Organization
Contact information
Practice address
467 PENNSYLVANIA AVE STE 108, FORT WASHINGTON, PA 19034-3420
(215) 628-4300
Mailing address
467 PENNSYLVANIA AVE STE 108, FORT WASHINGTON, PA 19034-3420
(215) 628-4300
(215) 628-2704
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
55551500
PA
Other
Enumeration date
08/09/2005
Last updated
11/22/2017
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