Healthcare Provider Details

I. General information

NPI: 1750694832
Provider Name (Legal Business Name): SURGICARE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2010
Last Update Date: 08/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 NEWTOWN YARDLEY RD SUITE 115
NEWTOWN PA
18940-4500
US

IV. Provider business mailing address

4 FOXHALL RD
NEWTOWN PA
18940-2930
US

V. Phone/Fax

Practice location:
  • Phone: 215-504-8900
  • Fax: 215-504-8902
Mailing address:
  • Phone: 215-504-8900
  • Fax: 215-504-8902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE MOLDEN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 215-504-8900