Advanced Specialty Surgery
Organization Active NPI Pain Medicine Physician · Narberth, PA
NPI 1316545809 · NPPES record last updated Oct 15, 2020
Key facts
- NPI
- 1316545809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- ADVANCED SPECIALTY SURGERY
- Practice address
- 124 N Narberth Ave
Narberth, PA 19072-2211 - Phone
- (484) 434-7500
- Fax
- (484) 434-7501
- NPI assigned
- Oct 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Amanda Lynn Ricca
- Title
- Ceo
- Phone
- (610) 628-4243
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | Yes |
Addresses
Primary practice location
124 N Narberth Ave
Narberth, PA 19072-2211
Mailing address
PO Box 358
Douglassville, PA 19518-0358
Phone (610) 628-4243
Other providers in Narberth, PA
- Advanced Physical Therapy Associates, LTD.
- Ritu Aggarwal
- Oghogho Aifuwa
- Ugonna Peace Amadiegwu
- Jamilyn Marie Ambrosky
- Sabra Anderson
All providers in Narberth, PA · Pain Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.