MEDICARE: CHILDREN'S SURGICAL ASSOCIATES LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1326117185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S SURGICAL ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	3401 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4319
Country	:	US
Telephone Number	:	267-425-9538
Fax Number	:	267-425-9552

Provider Business Practice Location Address
First Line	:	3500 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4395
Country	:	US
Telephone Number	:	215-590-2208
Fax Number	:	267-425-9552

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. LINDA C FLOCCO
Credential	:
Telephone Number	:	215-590-2700

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	03/17/2025

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Practice Location Address:

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