JEFFERSON AMBULATORY SURGERY SERVICES, LLC; NPI #1629826698

Contact Information

JEFFERSON AMBULATORY SURGERY SERVICES, LLC

3998 RED LION RD STE 242
PHILADELPHIA, PA 19114-1441

Phone: 215-341-1944
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for JEFFERSON AMBULATORY SURGERY SERVICES, LLC

NPI #	`1629826698`
LBN Legal business name	JEFFERSON AMBULATORY SURGERY SERVICES, LLC
Authorized official	WILLIAM GAVIGAN - (MANAGEMENT MEMBER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/07/2024
Last updated	08/26/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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