Provider Demographics
NPI:1699721522
Name:ASSOCIATED SURGEONS, P.C.
Entity type:Organization
Organization Name:ASSOCIATED SURGEONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DERBYSHIRE-BOVEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-272-3030
Mailing Address - Street 1:1330 POWELL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3353
Mailing Address - Country:US
Mailing Address - Phone:610-272-3030
Mailing Address - Fax:610-279-6208
Practice Address - Street 1:1330 POWELL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3353
Practice Address - Country:US
Practice Address - Phone:610-272-3030
Practice Address - Fax:610-279-6208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA510454OtherAETNA
PACA6395OtherRAILROAD MEDICARE
PA510454OtherAETNA