Organization
GAUDENZIA
Active
Other names
GAUDENZIA WESTCHESTER OUTPATIENT
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
110 WESTTOWN RD, SUITE 115, WEST CHESTER, PA 19382-4978
(610) 429-1414
(610) 429-1833
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
157052
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890063
—
PA
05
—
1002285890068
—
PA
Enumeration date
03/16/2007
Last updated
05/08/2021
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