Organization · Type 2 NPI
Stadium Campus Ambulatory Surgical Center, LLC
Ambulatory Surgical Clinic/Center · Philadelphia, PA
NPI number
1679658710
Active
Practice location
3340 S Broad St
Philadelphia, PA 19145-5802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 11381500 (PA) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1679658710
Stadium Campus Ambulatory Surgical Center, LLC's National Provider Identifier is 1679658710, issued on Oct 26, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2020.