M&M Surgical Center PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

115913 Issued in PA

Legal business name

M&M SURGICAL CENTER PC

Practice address

1 Crescent Dr. Suite 300
Philadelphia, PA 19112

Phone

(215) 389-3161

NPI assigned

Sep 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anita Milici, DMD

Title

Medical Director

Phone

(215) 389-3161

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1265950802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRESCENT DR. SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRESCENT DR. SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19112",
            "telephone_number": "215-389-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M SURGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "MILICI",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-389-3161",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "115913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CARE, INC.",
            "identifier": "115913",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.