Street Road Surgery Center, Llc in Trevose - Ambulatory Surgical

Street Road Surgery Center, Llc - NPI 1134273311

Street Road Surgery Center, Llc is a Ambulatory Surgical in Trevose, Pennsylvania. Street Road Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Street Road Surgery Center, Llc is 1134273311. The last update date is 2020-08-22.

Street Road Surgery Center, Llc's current location address is 4979 Old Street Rd, Trevose, Pennsylvania. You can contact this provider via phone number 2153557027 and fax number 2153557028. The mailing address for Street Road Surgery Center, Llc is 4979 Old Street Rd, Trevose, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Street Road Surgery Center, Llc
Address 4979 Old Street Rd, Trevose, Pennsylvania
Phone Number 2153557027
Fax Number 2153557028
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Witkin Evelyn
Credentials M.D.
Telephone Number 2153557027

NPI Number Detail

NPI Number 1134273311
Provider Enumeration Date 2007-01-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4979 Old Street Rd
City Trevose
State Pennsylvania (PA)
Post Code 190536222
Phone Number 2153557027
Fax Number 2153557028

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 2053
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Street Road Surgery Center, Llc

What is the unique 10-digit identification code assigned to Street Road Surgery Center, Llc by the Centers for Medicare & Medicaid Services?

The Street Road Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1134273311, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Street Road Surgery Center, Llc's facilities are situated?

The facilities of Street Road Surgery Center, Llc are physically located at the following address: 4979 Old Street Rd, Trevose, PA, 190536222.

What is Street Road Surgery Center, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Street Road Surgery Center, Llc is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.

On what date was the 1134273311 assigned to Street Road Surgery Center, Llc?

The Street Road Surgery Center, Llc was issued its 1134273311 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Street Road Surgery Center, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Street Road Surgery Center, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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