Healthcare Provider Details

I. General information

NPI: 1518972264
Provider Name (Legal Business Name): FIVE POINT MEDICAL LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E P ROCK D O 19 TURNER LANE EMBASSY COURT
WEST CHESTER PA
19380
US

IV. Provider business mailing address

E P ROCK D O 19 TURNER LANE EMBASSY COURT
WEST CHESTER PA
19380
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-5420
  • Fax: 610-692-1882
Mailing address:
  • Phone: 610-692-5420
  • Fax: 610-692-1882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD P ROCK
Title or Position: DOCTOR
Credential:
Phone: 610-692-5420