| Organization Name: | PHILADELPHIA SURGERY CENTER, INC. |
| NPI Number: | 1265770572 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRINA BOGACHEVA (ADMINISTRATROR) |
| Mailing Address: | 124 N Narberth Ave Narberth |
| State: | PA US |
| Postal Code: | 190722211 |
| Phone Number: | 4842708474 |
| Fax Number: | 4842708456 |
| NPI Enumeration Date: | 01/21/2013 |
| NPI Last Update Date: | 01/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |