Organization
COATESVILLE CLINIC COMPANY, LLC
Active
Organization
COATESVILLE CLINIC COMPANY, LLC
Active
Other names
Brandywine Valley Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DOUGLAS NEWSOME (GROUP VP)
(610) 524-6810
Entity
Organization
Contact information
Practice address
460 CREAMERY WAY, SUITE 103, EXTON, PA 19341-2533
(610) 524-6810
(610) 524-6291
Mailing address
460 CREAMERY WAY, SUITE 103, EXTON, PA 19341-2533
(610) 524-6810
(610) 524-6291
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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