Organization
ADVANCED SURGICAL AMBULATORY PARTNERS OF HAVERTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RICCA (CEO)
(215) 651-8180
Entity
Organization
Contact information
Practice address
700 E TOWNSHIP LINE RD FL 2, HAVERTOWN, PA 19083-5733
(484) 434-7500
(484) 434-7501
Mailing address
PO BOX 358, DOUGLASSVILLE, PA 19518-0358
(484) 434-7500
(484) 434-7501
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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