| Organization Name: | PHYSICIAN ASSISTANT SURGICAL ASSOCIATES, LLC |
| NPI Number: | 1265738249 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA HARP (OWNER) |
| Mailing Address: | 254 Bridge St Collegeville |
| State: | PA US |
| Postal Code: | 194261650 |
| Phone Number: | 2155898718 |
| Fax Number: | 8883703385 |
| NPI Enumeration Date: | 02/08/2011 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |