Organization
WEST GROVE HOSPITAL CORPORATION
Active
Other names
Jennersville Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DOUGLAS NEWSOME (GROUP VP)
(615) 465-7000
Entity
Organization
Contact information
Practice address
1011 W BALTIMORE PIKE, SUITE 307, WEST GROVE, PA 19390-9446
(610) 869-1240
(610) 869-1242
Mailing address
1011 W BALTIMORE PIKE, SUITE 307, WEST GROVE, PA 19390-9446
(610) 869-1240
(610) 869-1242
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/14/2006
Last updated
08/22/2020
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