Organization Name: | ASSOCIATES SURGERY CENTERS, LLC |
NPI Number: | 1023123296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA M CIBIK (MD/MEDICAL DIRECTOR) |
Mailing Address: | 9970 Mountain View Dr Suite 100 West Mifflin |
State: | PA US |
Postal Code: | 151222474 |
Phone Number: | 4126553046 |
Fax Number: | 4126508405 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 50361501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |