Organization
WEST GROVE CLINIC COMPANY LLC
Active
Other names
Telemedicine Jennersville Tower Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (VP & CFO)
(484) 628-8181
Entity
Organization
Contact information
Practice address
1015 W BALTIMORE PIKE, WEST GROVE, PA 19390-9459
(610) 869-1555
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
01/09/2020
Last updated
01/14/2020
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