Healthcare Provider Details
I. General information
NPI: 1346386398
Provider Name (Legal Business Name): SURGICAL CARE SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2007
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1245 HIGHLAND AVE SUITE 600
ABINGTON PA
19001
US
IV. Provider business mailing address
1245 HIGHLAND AVE SUITE 600
ABINGTON PA
19001
US
V. Phone/Fax
- Phone: 215-887-3990
- Fax: 215-887-1140
- Phone: 215-887-3990
- Fax: 215-887-1140
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | MD36762E |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | MD041868L |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | MD048271L |
| License Number State | PA |
VIII. Authorized Official
Name:
ARTHUR
M
FRANKEL
Title or Position: PRESIDENT OF GROUP
Credential: MD
Phone: 215-887-3990