institution
Surgical Specialty Center Of Northeastern Pennsylvania, Llc
Ambulatory Surgical Clinic/Center in Forty Fort, Pennsylvania
NPI 1245233410

Surgical Specialty Center Of Northeastern Pennsylvania, Llc is an Ambulatory Surgical Clinic/Center based in Nashville, PA and is specialized in Ambulatory Surgical. Surgical Specialty Center Of Northeastern Pennsylvania, Llc practices in Forty Fort, PA. The NPI Number for Surgical Specialty Center Of Northeastern Pennsylvania, Llc is 1245233410 and holds a License No. 148601 (Pennsylvania).

The current practice location address for Surgical Specialty Center Of Northeastern Pennsylvania, Llc is 190 Welles St, Forty Fort, PA and can be reached out via phone at 570-331-7615 and via fax at 570-331-7614.

Location: 190 Welles St, Forty Fort, PA, 37215-6187
institution
Provider Profile Details
NPI Number
1245233410
Provider Name
Surgical Specialty Center Of Northeastern Pennsylvania, Llc
Credential
Provider Entity Type
Organization
Address
190 Welles St, Forty Fort, PA, 37215-6187
Phone Number
570-331-7615
Fax Number
570-331-7614
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
814135 01 PA FIRST PRIORITY HEALTH PRO
127866 01 PA MED PLUS/3 RIVERS PROVIDE
2139542 01 PA UNITED HEALTHCARE
991073 01 PA BLUE CROSS PROVIDER #
077861 01 PA AMERIHEALTH PROVIDER #
0198 01 PA FREEDOM BLUE
49005260 01 PA MEDICARE RAILROAD
A2738987 01 PA OXFORD PROVIDER #
68929 01 PA GEISINGER PROVIDER #
IY0345 01 PA HEALTH NET PROVIDER #
0018825790001 05 PA
2670019 01 PA AETNA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
190 Welles St
City
State
Zip
18704-4968
Phone Number
570-331-7615
Fax Number
570-331-7614
person
Provider Business Mailing Address Details
Address
190 Welles St
City
State
Zip
18704-4968
Phone Number
570-331-7615
Fax Number
570-331-7614
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
148601 (Pennsylvania)
Definition
Definition to come...
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