Organization
BRANDYWINE CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI MARIE NEUBECK (BILLING)
(610) 941-4433
Entity
Organization
Contact information
Practice address
1011 W BALTIMORE PIKE, WEST GROVE, PA 19390-9446
(610) 869-1279
Mailing address
PO BOX 828424, PHILADELPHIA, PA 19182-8424
(610) 941-3300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012117340001
—
PA
Enumeration date
04/03/2007
Last updated
08/22/2020
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