Organization
CORNERSTONE AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOKKUMAR SHIVSHANKAR THANKI MD (PRESIDENT)
(215) 752-4040
Entity
Organization
Contact information
Practice address
3 CORNERSTONE DR, SUITE 704, LANGHORNE, PA 19047-1320
(215) 752-7080
(215) 752-7075
Mailing address
PO BOX 759, LANGHORNE, PA 19047-0759
(215) 752-4040
(215) 752-5348
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
21331501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102259548 0001
—
PA
Enumeration date
03/05/2008
Last updated
04/24/2009
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