Foundation Surgery Affiliate Of Fort Washington, Llc

NPI 1790786218 - Clinic/Center - 261QA1903X

NPI Details
NPI 1790786218
Enumeration Date 08/09/2005
Last Updated 04/15/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name AMANDA AMANDA
Position ADMINISTRATOR
Phone (215) 628-4300
Fax
Practice Location
467 PENNSYLVANIA AVE
SUITE 202
FORT WASHINGTON PA, 19034-3420, US
Phone (215) 628-4300
Fax
Business Location
467 PENNSYLVANIA AVE
SUITE 202
FORT WASHINGTON PA, 19034-3420, US
Phone (215) 628-4300
Fax (215) 628-2704
Toxanomy
Taxonomy Code 261QA1903X
License State Pennsylvania
License Number 55551500
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According to our database, Foundation Surgery Affiliate Of Fort Washington, Llc NPI is 1790786218, taxonomy code is 261QA1903X and license number is 55551500, license state is located at Pennsylvania. Foundation Surgery Affiliate Of Fort Washington, Llc physically located at 467 Pennsylvania Ave, Fort Washington PA, 19034-3420. NPI Number 1033115704 has the healthcare provider type.

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1790786218 NPI number is provided on an as is basis without warranty of any kind. 1790786218 is maintained by the National Plan & Provider Enumeration System. The contents of Foundation Surgery Affiliate Of Fort Washington, Llc are for informational purposes only.