Organization
JEFFERSON AMBULATORY SURGERY SERVICES, LLC
Active
Other names
Jeffeson Endoscopy Center at Bala
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WEBSTER (PRESIDENT)
(215) 955-7937
Entity
Organization
Contact information
Practice address
130 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004-1110
(615) 397-9187
Mailing address
111 S 11TH ST, STE. 2210, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
PA
Other
Enumeration date
11/18/2015
Last updated
10/04/2022
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