Healthcare Provider Details

I. General information

NPI: 1841380540
Provider Name (Legal Business Name): GWR MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 02/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HILLMAN DR STE 106
CHADDS FORD PA
19317-9780
US

IV. Provider business mailing address

4 HILLMAN DR STE 106
CHADDS FORD PA
19317-9780
US

V. Phone/Fax

Practice location:
  • Phone: 610-558-6000
  • Fax: 610-558-1280
Mailing address:
  • Phone: 610-558-6000
  • Fax: 610-558-1280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000005608
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SEAN GEARY
Title or Position: VP & COO
Credential:
Phone: 610-558-6000