Provider Demographics
NPI:1437113560
Name:DELAWARE COUNTY SURGICAL ASSOCIATES P.C.
Entity Type:Organization
Organization Name:DELAWARE COUNTY SURGICAL ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:610-627-4427
Mailing Address - Street 1:1088 W BALTIMORE PIKE
Mailing Address - Street 2:HCC II, SUITE 2507
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5146
Mailing Address - Country:US
Mailing Address - Phone:610-627-4427
Mailing Address - Fax:610-891-3417
Practice Address - Street 1:1088 W BALTIMORE PIKE
Practice Address - Street 2:HCC II, SUITE 2507
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5146
Practice Address - Country:US
Practice Address - Phone:610-627-4427
Practice Address - Fax:610-891-3417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0661356000OtherKEYSTONE HEALTH PLAN EAST
PA0661356000OtherPERSONAL CHOICE
PA050778Medicare ID - Type Unspecified