Provider Demographics
NPI:1598979270
Name:MONTGOMERY SURGICAL CENTER
Entity Type:Organization
Organization Name:MONTGOMERY SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-886-7856
Mailing Address - Street 1:101 OLD YORK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3912
Mailing Address - Country:US
Mailing Address - Phone:215-885-8863
Mailing Address - Fax:215-885-8861
Practice Address - Street 1:101 OLD YORK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3912
Practice Address - Country:US
Practice Address - Phone:215-885-8863
Practice Address - Fax:215-885-8861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain