| Organization Name: | CONYNGHAM VALLEY SURGICENTER PC |
| NPI Number: | 1083877724 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL L SON (MEDICAL DIRECTOR) |
| Mailing Address: | 8 Brookhill Sq S Sugarloaf |
| State: | PA US |
| Postal Code: | 182491010 |
| Phone Number: | 5707882733 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 02/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | MD038350L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |