Organization
JEFFERSON SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE ANDREW LINGENFELTER MD (PRESIDENT)
(814) 938-4121
Entity
Organization
Contact information
Practice address
81 HILLCREST DR, SUITE 2600, PUNXSUTAWNEY, PA 15767-2605
(814) 938-4121
(814) 938-4158
Mailing address
81 HILLCREST DR, SUITE 2600, PUNXSUTAWNEY, PA 15767-2605
(814) 938-4121
(814) 938-4158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD044264L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014589380002
—
PA
Enumeration date
08/17/2006
Last updated
08/22/2020
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