Children'S Surgical Associates Ltd
Oral & Maxillofacial Surgery in Philadelphia, PA. Organization (NPI-2).
NPI number1730268079
StatusActive
Last updated in NPPESMay 28, 2026
Details
- NPI
- 1730268079
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Surgical Associates Ltd
- Organization subpart
- Yes
- Enumeration date
- Nov 6, 2006
- Certification date
- May 28, 2026
- Last updated
- May 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | – | – | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Other names
- Children'S Surgical Associates Ltd (Doing Business As)
Practice location
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone 215-590-1000 · Fax 215-590-2496
Mailing address
2929 Arch St Fl 12Philadelphia, PA 19104-2857
Other practice locations
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Philadelphia, PA 19104-4395
Phone 215-590-1563 · Fax 267-425-9552
Authorized official
Linda Flocco
Executive Director
2155902700
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