# GREAT VALLEY OBGYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376988410
- **Authorized official:** CAROL COLDREN MD (PHYSICIAN)
- **Authorized official phone:** (484) 565-8550

## Contact information

- **Practice address:** 495 THOMAS JONES WAY, MAIN LINE HEALTH CTR SUITE 210, EXTON, PA 19341-2553
- **Practice address phone:** (484) 565-8550
- **Practice address fax:** (610) 280-1569
- **Mailing address:** 495 THOMAS JONES WAY, MAIN LINE HEALTH CTR SUITE 210, EXTON, PA 19341-2553
- **Mailing address phone:** (484) 565-8550
- **Mailing address fax:** (610) 280-1569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 05/02/2013