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Organization
POTTSTOWN CLINIC COMPANY, LLC
Active
Organization
POTTSTOWN CLINIC COMPANY, LLC
Active
Parent organization
POTTSTOWN CLINIC COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTTSTOWN CLINIC COMPANY, LLC
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
730 S HANOVER ST, POTTSTOWN, PA 19465-7520
(610) 323-6835
(610) 323-4154
Mailing address
730 S HANOVER ST, POTTSTOWN, PA 19465-7520
(610) 323-6835
(610) 323-4154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/30/2006
Last updated
06/21/2018
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