Organization
BRANDYWINE VALLEY NEUROSURGERY AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW FREESE MD, PHD (OWNER)
(610) 384-0482
Entity
Organization
Contact information
Practice address
213 REECEVILLE RD, STE 33, COATESVILLE, PA 19320-1528
(610) 384-0482
(610) 384-0485
Mailing address
213 REECEVILLE RD, STE 33, COATESVILLE, PA 19320-1528
(610) 384-0482
(610) 384-0485
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD048535L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017841
HIGHMARK
PA
01
—
3432945000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
01/31/2008
Last updated
07/21/2008
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