institution
Liberty Eye Surgical Center Llc
Ambulatory Surgical Clinic/Center in Philadelphia, Pennsylvania
NPI 1447218433

Liberty Eye Surgical Center Llc is an Ambulatory Surgical Clinic/Center based in Philadelphia, PA and is specialized in Ambulatory Surgical. Liberty Eye Surgical Center Llc practices in Philadelphia, PA. The NPI Number for Liberty Eye Surgical Center Llc is 1447218433 and holds a License No. 17401501 (Pennsylvania).

The current practice location address for Liberty Eye Surgical Center Llc is 9122 Blue Grass Rd, Philadelphia, PA and can be reached out via phone at 215-673-9231 and via fax at 215-673-9236. You can also correspond with Liberty Eye Surgical Center Llc through the mailing address at 9122 BLUE GRASS RD, PHILADELPHIA, PA - 19114-3202 (mailing address contact number: 215-673-9231).

Location: 9122 Blue Grass Rd, Philadelphia, PA, 19114-3202
institution
Provider Profile Details
NPI Number
1447218433
Provider Name
Liberty Eye Surgical Center Llc
Credential
Provider Entity Type
Organization
Address
9122 Blue Grass Rd, Philadelphia, PA, 19114-3202
Phone Number
215-673-9231
Fax Number
215-673-9236
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3562638 01 PA AETNA HEALTHCARE
0001624000 01 PA KEYSTONE HMO
0001624000 01 PA BLUE CROSS BLUE SHIELD
35387 05 PA
100964206001 05 PA
30019554 05 PA
institution
Provider Business Practice Location Address Details
Address
9122 Blue Grass Rd
City
State
Zip
19114-3202
Phone Number
215-673-9231
Fax Number
215-673-9236
person
Provider Business Mailing Address Details
Address
9122 Blue Grass Rd
City
State
Zip
19114-3202
Phone Number
215-673-9231
Fax Number
215-673-9236
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
17401501 (Pennsylvania)
Definition
Definition to come...
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