Organization
PHOENIXVILLE SURGERY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD K. PAVILLARD D.O. (PRESIDENT)
(610) 495-2550
Entity
Organization
Contact information
Practice address
420 W LINFIELD TRAPPE RD, SUITE 3200, LIMERICK, PA 19468-4278
(610) 495-2550
Mailing address
420 W LINFIELD TRAPPE RD, SUITE 3200, LIMERICK, PA 19468-4278
(610) 495-2550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
04/13/2016
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