Organization
A-G ADMINISTRATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIXON GILLIS (PRESIDENT)
(610) 933-0800
Entity
Organization
Contact information
Practice address
860 FIRST AVE STE 2, KING OF PRUSSIA, PA 19406-4033
(610) 933-0800
(610) 935-2860
Mailing address
PO BOX 979, VALLEY FORGE, PA 19482-0979
(610) 933-0800
(610) 935-2860
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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