CHILDREN'S SURGICAL ASSOCIATES LTD NPI 1417014721

NPI Information

  • NPI: 1417014721
  • Provider Name: CHILDREN'S SURGICAL ASSOCIATES, LTD
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Doing Business As: CHILDREN'S SURGICAL ASSOCIATES, LTD
  • Address: 3401 CIVIC CENTER BLVD
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 590-2754

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NPI Details

CHILDREN'S SURGICAL ASSOCIATES, LTD is a pediatrics nurse practitioner in Philadelphia, PA. CHILDREN'S SURGICAL ASSOCIATES, LTD NPI is 1417014721. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Surgical Associates, Ltd.

The provider's business location address is:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-2754

The provider's authorized official is Linda C Flocco .
The authorized official title is Executive Director and has the following contact phone number (267) 425-9538.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsSP008911PENNSYLVANIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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