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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