Street Road Surgery Center, LLC
NPI #1134273311 in Trevose, Pennsylvania
Provider Information
- NPI Number
- 1134273311
- Entity Type
- Organization
- Organization Name
- Street Road Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4979 OLD STREET RD
- City
- Trevose
- State
- Pennsylvania
- ZIP Code
- 19053-6222
- Phone
- (215) 355-7027
Authorized Official
- Name
- DR. EVELYN WITKIN, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (215) 355-7027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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