# VALLEY FORGE FACIAL PLASTIC SURGERY ENT

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

## Provider details

- **NPI number:** 1558550830
- **Authorized official:** LARRY A FEINER MD (SECRETARY-TREASURER)
- **Authorized official phone:** (610) 323-1550

## Contact information

- **Practice address:** 206 GAY ST, PHOENIXVILLE, PA 19460-3721
- **Practice address phone:** (610) 933-8896
- **Practice address fax:** (610) 326-6160
- **Mailing address:** 206 GAY ST, PHOENIXVILLE, PA 19460-3721
- **Mailing address phone:** (610) 933-8896
- **Mailing address fax:** (610) 326-6160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 10/23/2007
