Organization
BRANDYWINE VALLEY INFECTIOUS DISEASES ASSOCIATES LLC
Active
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
Update your record
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