Delaware Valley Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

NJR24708 Issued in NJ

Legal business name

DELAWARE VALLEY SURGICAL CENTER LLC

Practice address

6000 Sagemore Dr
Suite 6103
Marlton, NJ 08053-3900

Phone

(856) 988-0072

Fax

(856) 988-7308

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. George Taliadouros, MD

Title

Manager

Phone

(856) 988-0072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1851743074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SAGEMORE DR",
            "address_2": "SUITE 6103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533900",
            "telephone_number": "856-988-0072",
            "fax_number": "856-988-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SAGEMORE DR",
            "address_2": "SUITE 6103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533900",
            "telephone_number": "856-988-0072",
            "fax_number": "856-988-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "TALIADOUROS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-988-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "NJR24708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dejesus, RN, APN, AGACNP-BC
• Linda Delany-Glassman, LCSW
• Bruce Delarso, CRNA
• Delaware Valley Gastroenterology Associates MD PA
• Delaware Valley Institute of Fertility & Genetics, PA
• Sarah M Delay, MS, OTR/L
• Rod Mark B. Delgado, PT, DPT
• Samantha Delorenzo, APN
• Vince Deluca
• Natalie P Deming, LCSW

• Ambulatory Surgical Clinic/Center in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.