Healthcare Provider Details

I. General information

NPI: 1891713343
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF CHESTER COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 W BRIDGE ST DOOR D, SUITE 10A
PHOENIXVILLE PA
19460-4342
US

IV. Provider business mailing address

8 S WAYNE ST
WEST CHESTER PA
19382-2817
US

V. Phone/Fax

Practice location:
  • Phone: 610-935-0599
  • Fax: 610-917-0977
Mailing address:
  • Phone: 610-692-1770
  • Fax: 610-429-1057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberMD035003E
License Number StatePA

VIII. Authorized Official

Name: DR. CHRISTINA E ELLIS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 610-692-1770