Organization
CENTER FOR THE SURGICAL ARTS LLC
Active
Other names
CSA, The Center for The Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ALI AGHA RAAD (ADMINISTRATOR)
(724) 777-7702
Entity
Organization
Contact information
Practice address
3107 FAIRWAY DRIVE, ALTOONA, PA 16602
(814) 414-4848
(814) 201-2256
Mailing address
3107 FAIRWAY DRIVE, ALTOONA, PA 16602
(814) 414-4848
(814) 201-2256
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1843
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0423
HIGHMARK
PA
05
—
1016116300002
—
PA
01
—
1813779
BLUE SHIELD
—
Enumeration date
03/23/2006
Last updated
03/09/2023
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