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460 Creamery Way Suite 101 Exton PA 19341-2533 | |
| (610) 524-4106 | |
| (610) 524-4168 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 460 Creamery Way, Exton, Pennsylvania |
| Authorized Official Name and Position | Gary Douglas Newsome (GROUP VP) |
| Authorized Official Contact | 6105244106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
460 Creamery Way Suite 101 Exton PA 19341-2533 Ph: (610) 524-4106 | 460 Creamery Way Suite 101 Exton PA 19341-2533 Ph: (610) 524-4106 |
| NPI Number | 1457309536 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457309536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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