MEDICARE: 325 ASC, LLC

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1952785438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	325 ASC, LLC

Provider Business Mailing Address
First Line	:	325 W GERMANTOWN PIKE
Second Line	:	SUITE 100
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4207
Country	:	US
Telephone Number	:	610-272-1881
Fax Number	:	610-272-2117

Provider Business Practice Location Address
First Line	:	325 W GERMANTOWN PIKE
Second Line	:	SUITE 100
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4207
Country	:	US
Telephone Number	:	610-272-1881
Fax Number	:	610-272-2117

Authorized Official
Title or Position	:	PARTNER
Name	:	BRIAN ROSENTHAL
Credential	:	DO
Telephone Number	:	610-272-1881

Provider Enumeration Date	:	07/15/2015
Last Update Date	:	07/15/2015

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