Provider Demographics
NPI:1104124692
Name:CONTEMPORARY SURGICAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:CONTEMPORARY SURGICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAJID
Authorized Official - Middle Name:HAFEEZ
Authorized Official - Last Name:QAZI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-330-5822
Mailing Address - Street 1:1874 HERITAGE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-7828
Mailing Address - Country:US
Mailing Address - Phone:734-330-5822
Mailing Address - Fax:
Practice Address - Street 1:927 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 1
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-8373
Practice Address - Country:US
Practice Address - Phone:215-277-5338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014493208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty