Healthcare Provider Details

I. General information

NPI: 1326035320
Provider Name (Legal Business Name): SURGICAL ASSOCIATES OF CHESTER COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 REECEVILLE RD SUITE 23
COATESVILLE PA
19320-1528
US

IV. Provider business mailing address

213 REECEVILLE RD SUITE 23
COATESVILLE PA
19320-1528
US

V. Phone/Fax

Practice location:
  • Phone: 610-384-6550
  • Fax: 610-384-6329
Mailing address:
  • Phone: 610-384-6550
  • Fax: 610-384-6329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: GARY D. NEWSOME
Title or Position: GROUP VP
Credential:
Phone: 615-373-9600