Organization
EXTON PRIMARY CARE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARINEETHA THANGADA M.D (PRESIDENT)
(610) 368-6395
Entity
Organization
Contact information
Practice address
115 JOHN ROBERT THOMAS DR, EXTON PRIMARY CARE P.C, EXTON, PA 19341-2653
(610) 363-6433
(610) 363-6883
Mailing address
115 JOHN ROBERT THOMAS DR, EXTON PRIMARY CARE P.C, EXTON, PA 19341-2653
(610) 363-6433
(610) 363-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019187600001
—
PA
Enumeration date
11/08/2007
Last updated
11/08/2007
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