Provider Demographics
NPI:1477632891
Name:RIDLEY CROSSINGS SURGICAL CENTER
Entity Type:Organization
Organization Name:RIDLEY CROSSINGS SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:BILLBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-522-2822
Mailing Address - Street 1:1553 CHESTER PIKE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CRUM LYNNE
Mailing Address - State:PA
Mailing Address - Zip Code:19022-1005
Mailing Address - Country:US
Mailing Address - Phone:484-487-0369
Mailing Address - Fax:484-487-0371
Practice Address - Street 1:1553 CHESTER PIKE
Practice Address - Street 2:SUITE 102
Practice Address - City:CRUM LYNNE
Practice Address - State:PA
Practice Address - Zip Code:19022-1005
Practice Address - Country:US
Practice Address - Phone:484-487-0369
Practice Address - Fax:484-487-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical