| Pai Participant 3 Llc | |
|
800 W Miner St West Chester PA 19382-2149 | |
| (610) 696-3120 | |
| Not Available |
| Full Name | Pai Participant 3 Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 800 W Miner St, West Chester, Pennsylvania |
| Authorized Official Name and Position | Jill Ford (DIRECTOR/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4846432629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant 3 Llc Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant 3 Llc 800 W Miner St West Chester PA 19382-2149 Ph: (610) 696-3120 |
| NPI Number | 1518631241 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518631241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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