Organization
WILKES BARRE ASC., LP
Active
Organization
WILKES BARRE ASC., LP
Active
Other names
Center For Same Day Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKRAM ZALATIMO M.D. (PRESIDENT)
(570) 822-9010
Entity
Organization
Contact information
Practice address
545 N RIVER ST, WILKES BARRE, PA 18702-2600
(570) 822-9010
(570) 270-6488
Mailing address
545 N RIVER ST, WILKES BARRE, PA 18702-2600
(570) 822-9010
(570) 270-6488
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
12831500
PA
261QA1903X
Ambulatory Surgical Clinic/Center
12831500
PA
261QM1300X
Multi-Specialty Clinic/Center
Primary
12831500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007426920003
—
PA
Enumeration date
05/24/2005
Last updated
09/19/2008
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