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WEST GROVE CLINIC COMPANY LLC NPI 1093355992


NPI Information

NPI: 1093355992
Provider Name: WEST GROVE CLINIC COMPANY LLC

Doing Business As: TELEMEDICINE JENNERSVILLE TOWER HEALTH MEDICAL GROUP

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1015 W BALTIMORE PIKE
WEST GROVE, PA
ZIP 19390
Phone: (610) 869-1555
Get Directions

WEST GROVE CLINIC COMPANY LLC is a neurology psychiatry neurology in West Grove, PA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. WEST GROVE CLINIC COMPANY LLC NPI is 1093355992. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Telemedicine Jennersville Tower Health Medical Group.

The provider's business location address is:

1015 W BALTIMORE PIKE
WEST GROVE, PA
ZIP 19390-459
Phone: (610) 869-1555

The provider's authorized official is Gary Conner .
The authorized official title is Vp & Cfo and has the following contact phone number (484) 628-8181.

The enumeration date for this NPI number is 1/9/2020 and was last updated on 1/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseNo
22084N0400XPsychiatry & NeurologyNeurologyYes
32084P0800XPsychiatry & NeurologyPsychiatryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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