Healthcare Provider Details

I. General information

NPI: 1659336501
Provider Name (Legal Business Name): WEST CHESTER AMBULATORY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 04/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E MARSHALL ST
WEST CHESTER PA
19380-4412
US

IV. Provider business mailing address

701 E MARSHALL ST
WEST CHESTER PA
19380-4412
US

V. Phone/Fax

Practice location:
  • Phone: 610-431-5472
  • Fax: 610-430-2914
Mailing address:
  • Phone: 610-431-5472
  • Fax: 610-430-2914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT GARBER
Title or Position: AUTHORIZED REP
Credential: MD
Phone: 610-431-5472