Organization
GREAT VALLEY MEDICAL ASSOCIATES, PC
Active
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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