Healthcare Provider Details

I. General information

NPI: 1710114293
Provider Name (Legal Business Name): RIVERVIEW SURGERY CENTER AT THE NAVY YARD LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2009
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CRESCENT DR STE 310
PHILADELPHIA PA
19112-1017
US

IV. Provider business mailing address

3 CRESCENT DR STE 310
PHILADELPHIA PA
19112-1017
US

V. Phone/Fax

Practice location:
  • Phone: 267-419-3600
  • Fax:
Mailing address:
  • Phone: 267-419-3600
  • Fax:

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: PAULA SOLIPACA
Title or Position: CEO/ ADMINISTRATOR
Credential:
Phone: 267-419-3600