Organization
PHOENIXVILLE EMERGENCY CARE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA HANAWAY MD (PRESIDENT)
(610) 983-1221
Entity
Organization
Contact information
Practice address
140 NUTT ROAD, PHOENIXVILLE, PA 19460
(610) 983-1221
Mailing address
PO BOX 425, LEDERACH, PA 19450-0425
(800) 528-0006
(732) 349-6030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019569120001
—
PA
Enumeration date
06/22/2006
Last updated
02/14/2012
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