Organization
GREAT VALLEY MEDICAL ASSOCIATES, PC
Active
Other names
Great Valley Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LISE VOIGT (OFFICE MANAGER)
(610) 644-9456
Entity
Organization
Contact information
Practice address
255 W LANCASTER AVE, MOB 2 SUITE 120, PAOLI, PA 19301-1755
(610) 644-9456
(610) 644-5203
Mailing address
255 W LANCASTER AVE, MOB 2 SUITE 120, PAOLI, PA 19301-1755
(610) 644-9456
(610) 644-5203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050116
MEDICARE
—
Enumeration date
03/15/2006
Last updated
05/13/2021
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