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Organization
PROFESSIONAL PROVIDERS INC
Active
Organization
PROFESSIONAL PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GORMAN (VICE PRESIDENT)
(610) 738-8016
Entity
Organization
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 738-8016
(610) 918-6316
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 738-8019
(610) 926-3676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
10/19/2006
Last updated
01/27/2014
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