Organization · Type 2 NPI

Jefferson Ambulatory Surgery Services, LLC

Endoscopy Clinic/Center · Philadelphia, PA

NPI number 1629826698 Active

Practice location

3998 Red Lion Rd Ste 242
Philadelphia, PA 19114-1441

Call (215) 341-1944 Map

Mailing address

10800 Knights Rd Ste 242
Philadelphia, PA 19114-4200

Specialties and licenses

Taxonomy	Code	License
Endoscopy Clinic/Center Primary	261QE0800X	None listed

Endoscopy Clinic/Center: Definition to come...

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NPI record

NPI: 1629826698
Entity type: Organization (Type 2)
Issued: May 7, 2024
Last updated: Aug 26, 2024
Status: Active
Subpart: Yes of Jefferson Ambulatory Surgery Services, LLC

Other names

<unavail>
Jefferson Surgery Center - Torresdale · doing business as
Jefferson Surgery Center - Torresdale · doing business as

Authorized official

William Gavigan
Management Member
(615) 397-9187

Verify this record

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About NPI 1629826698

Jefferson Ambulatory Surgery Services, LLC's National Provider Identifier is 1629826698, issued on May 7, 2024. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 26, 2024.