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TREVOSE SPECIALTY CARE SURGICAL CENTER LLC NPI 1740448711


NPI Information

NPI: 1740448711
Provider Name: TREVOSE SPECIALTY CARE SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 39D1050178

Address:
4979 OLD STREET RD
TREVOSE, PA
ZIP 19053
Phone: (267) 684-6047
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TREVOSE SPECIALTY CARE SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Trevose, PA. TREVOSE SPECIALTY CARE SURGICAL CENTER, LLC NPI is 1740448711. The provider is registered as an organization entity type.

The provider's business location address is:

4979 OLD STREET RD
TREVOSE, PA
ZIP 19053-222
Phone: (267) 684-6047
Fax: (267) 684-6056

The provider's authorized official is Steven Rosen .
The authorized official title is Managing Partner and has the following contact phone number (267) 684-6047.

The CLIA number assigned to this NPI record is 39D1050178 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 6/21/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical22411501PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERPENNSYLVANIAIRS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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