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Organization
WEST GROVE CLINIC COMPANY LLC
Active
Organization
WEST GROVE CLINIC COMPANY LLC
Active
Other names
Women's Health Gynecology Jennersville Tower Health Medical Group, Neurology West Grove Tower Health Medical Group, Cardiology West Grove Tower Health Medical Group, Surgery West Grove Tower Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (VF & CFO)
(484) 628-8181
Entity
Organization
Contact information
Practice address
1011 W BALTIMORE PIKE STE 304, WEST GROVE, PA 19390-9448
(610) 869-1278
(610) 869-2312
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
PA
207RC0000X
Cardiovascular Disease Physician
MD034333L
PA
207RG0100X
Gastroenterology Physician
MD427096
PA
207X00000X
Orthopaedic Surgery Physician
—
PA
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018284230003
—
PA
Enumeration date
11/10/2006
Last updated
07/21/2022
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