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Contact Information

BRANDYWINE VALLEY NEUROSURGERY AND SPINE LLC
213 REECEVILLE RD
STE 33
COATESVILLE, PA19320-1528
 Phone: 610-384-0482
 Fax: 610-384-0485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRANDYWINE VALLEY NEUROSURGERY AND SPINE LLC

NPI Number 1679751754
LBN Legal business name BRANDYWINE VALLEY NEUROSURGERY AND SPINE LLC
Authorized official ANDREW FREESE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2008
Last updated 07/21/2008 - About 18 years ago
Identifiers
PA License # MD048535L
PA Other 2017841 HIGHMARK
PA Other 3432945000 INDEPENDENCE BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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