Organization
WATERFRONT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S MCCARTHY (EXECUTIVE DIRECTOR)
(412) 325-0775
Entity
Organization
Contact information
Practice address
495 WATERFRONT DR E, SUITE 110, HOMESTEAD, PA 15120-1140
(412) 325-2174
(412) 325-2182
Mailing address
495 WATERFRONT DR E, SUITE 110, HOMESTEAD, PA 15120-1140
(412) 325-2174
(412) 325-2182
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16601501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1845
HIGHMARK BLUE CROSS BLUE
PA
Enumeration date
08/30/2006
Last updated
10/30/2007
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