Provider Demographics
NPI:1255404398
Name:WARMINSTER AMBULATORY SURGICAL
Entity type:Organization
Organization Name:WARMINSTER AMBULATORY SURGICAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:BILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-440-3152
Mailing Address - Street 1:401 YORK RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4508
Mailing Address - Country:US
Mailing Address - Phone:215-443-3022
Mailing Address - Fax:215-443-5859
Practice Address - Street 1:401 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4508
Practice Address - Country:US
Practice Address - Phone:215-443-3022
Practice Address - Fax:215-443-5859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA07431500261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA391057Medicare PIN