Organization
BRANDYWINE RADIOLOGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BROOKS DO (PRES.)
(610) 383-8119
Entity
Organization
Contact information
Practice address
201 REECEVILLE RD, COATESVILLE, PA 19320-1542
(610) 383-8113
Mailing address
201 REECEVILLE RD, COATESVILLE, PA 19320-1542
(610) 383-8113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012684140003
—
PA
Enumeration date
05/12/2006
Last updated
10/04/2007
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