Organization
BRANDYWINE VALLEY INFECTIOUS DISEASES ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAIDA RABAH MD (OWNER)
(610) 383-9999
Entity
Organization
Contact information
Practice address
213 REECEVILLE RD, SUITE 27, COATESVILLE, PA 19320-1528
(610) 383-9333
(610) 383-1183
Mailing address
213 REECEVILLE RD, SUITE 27, COATESVILLE, PA 19320-1528
(610) 383-9333
(610) 383-1183
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD052706L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014877980005
—
PA
Enumeration date
05/23/2006
Last updated
10/28/2010
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