Organization
COATESVILLE CLINIC COMPANY LLC
Active
Other names
Neurology West Grove Vineyard Way Tower Health Medical Group, Family Medicine Exton Thomas Jones Tower Health Medical Group, Family Medicine Exton Uwchlan Ave Tower Health Medical Group, Neurology Coatesville Suite 22A Tower Health Medical Group, Neurology Coatesville Suite 22 Tower Health Medical Group, Psychiatry Coatesville Tower Health Medical Group, Family Medicine Downington Tower Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
(484) 628-4681
Entity
Organization
Contact information
Practice address
213 REECEVILLE RD, STE 23, COATESVILLE, PA 19320-1528
(610) 384-6550
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015851470002
—
PA
05
—
1015851470003
—
PA
05
—
1015851470007
—
PA
05
—
1015851470009
—
PA
05
—
1015851470010
—
PA
01
—
1846059
BCBS
PA
01
—
1848182
BCBS
PA
01
—
1872587
BCBS
PA
Enumeration date
07/06/2006
Last updated
11/19/2021
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