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Contact Information

PHOENIXVILLE MEDICAL GROUP
500 GAY STREET
PHOENIXVILLE, PA19460
 Phone: 610-935-7500
 Fax: 610-935-4338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHOENIXVILLE MEDICAL GROUP · (Female)

NPI Number 1144540337
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2010
Last updated 03/28/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD024972E
  • PA Medicaid 0007964850006
  • PA Other 026191 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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