Advanced Specialty Surgery
in Narberth, PA. Organization (NPI-2).
NPI number1316545809
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1316545809
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Specialty Surgery
- Organization subpart
- No
- Enumeration date
- Oct 15, 2020
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes |
Practice location
124 N Narberth AveNarberth, PA 19072-2211
Phone 484-434-7500 · Fax 484-434-7501
Mailing address
Po Box 358Douglassville, PA 19518-0358
Phone 610-628-4243 · Fax 215-628-2704
Authorized official
Amanda Lynn Ricca
Ceo
6106284243
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