Theodore S Nam Md Pc | |
219 Reeceville Road Coatesville PA 19320-0000 | |
(610) 383-4990 | |
(610) 383-4989 |
Full Name | Theodore S Nam Md Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 219 Reeceville Road, Coatesville, Pennsylvania |
Authorized Official Name and Position | Theodore S Nam (PHYSICIAN) |
Authorized Official Contact | 6103834990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Theodore S Nam Md Pc 219 Reeceville Road Coatesville PA 19320-0000 Ph: (610) 383-4990 | Theodore S Nam Md Pc 219 Reeceville Road Coatesville PA 19320-0000 Ph: (610) 383-4990 |
NPI Number | 1972831337 |
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Provider Enumeration Date | 11/24/2009 |
Last Update Date | 06/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972831337 | NPI | - | NPPES |
102398917 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD436926 (Pennsylvania) | Primary |
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