Organization
MILLGROVE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILESH PATEL (PRESIDENT)
(610) 792-3645
Entity
Organization
Contact information
Practice address
2793 EGYPT RD, AUDUBON, PA 19403-2254
(610) 805-7471
Mailing address
143 DORSET CIR, PHOENIXVILLE, PA 19460-1051
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD048674L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018381130001
—
PA
Enumeration date
03/02/2011
Last updated
05/23/2011
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