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General NPI Number Information
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NPI Number | 1306063672
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Entity Type | Organization
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Legal Business Name | PARKWAY SURGERY CENTER
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2401 PENNSYLVANIA AVE SUITE 1A5
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3010
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Country | US
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Telephone | 215-232-8200
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Fax | 215-232-8220
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Provider Business Mailing Address
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Address Line | 2401 PENNSYLVANIA AVE SUITE 1A5
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3010
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Country | US
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Telephone | 215-232-8200
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Fax | 215-232-8220
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALVATORE PETER CALABRO
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Credential | M.D.
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Telephone | 212-232-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 15651501
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License Number State | PA
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