Mt Airy Ambulatory Endoscopy Surgery Center
NPI #1659457760 in Philadepphia, Pennsylvania
Provider Information
- NPI Number
- 1659457760
- Entity Type
- Organization
- Organization Name
- Mt Airy Ambulatory Endoscopy Surgery Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Jun 3, 2011
Practice Location
- Address
- 6827-31 GERMANTOWN AVE
- City
- Philadepphia
- State
- Pennsylvania
- ZIP Code
- 19119-2113
- Phone
- (215) 849-4902
Authorized Official
- Name
- DR. JAMES STEVEN BLAKE, DO
- Title
- CEO/MEDICAL DIRECTOR/ADMINISTRATOR
- Phone
- (215) 849-4902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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