Organization
COATESVILLE CLINIC COMPANY, LLC
Active
Organization
COATESVILLE CLINIC COMPANY, LLC
Active
Other names
Brandywine Valley Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D NEWSOME (GROUP VP)
(615) 465-3000
Entity
Organization
Contact information
Practice address
3629 LINCOLN HWY, THORNDALE, PA 19372-1003
(610) 383-1545
(610) 383-1547
Mailing address
3629 LINCOLN HWY, THORNDALE, PA 19372-1003
(610) 383-1545
(610) 383-1547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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