MEDICARE: SURGICAL ASSOCIATES OF CHESTER COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1326035320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL ASSOCIATES OF CHESTER COUNTY

Provider Business Mailing Address
First Line	:	213 REECEVILLE RD
Second Line	:	SUITE 23
City	:	COATESVILLE
State	:	PA
Zip	:	19320-1528
Country	:	US
Telephone Number	:	610-384-6550
Fax Number	:	610-384-6329

Provider Business Practice Location Address
First Line	:	213 REECEVILLE RD
Second Line	:	SUITE 23
City	:	COATESVILLE
State	:	PA
Zip	:	19320-1528
Country	:	US
Telephone Number	:	610-384-6550
Fax Number	:	610-384-6329

Authorized Official
Title or Position	:	GROUP VP
Name	:	GARY D. NEWSOME
Credential	:
Telephone Number	:	615-373-9600

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	08/22/2020

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Practice Location Address:

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