Provider Demographics
NPI:1750696134
Name:RMA OF PHILADELPHIA SURGICAL CENTER LLC
Entity type:Organization
Organization Name:RMA OF PHILADELPHIA SURGICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-938-1515
Mailing Address - Street 1:610 FREEDOM BUSINESS CTR DR STE 310
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1329
Mailing Address - Country:US
Mailing Address - Phone:610-340-3537
Mailing Address - Fax:610-337-0185
Practice Address - Street 1:625 CLARK AVE
Practice Address - Street 2:SUITE 17B
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406
Practice Address - Country:US
Practice Address - Phone:215-938-1515
Practice Address - Fax:215-938-8756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical