Provider Demographics
NPI:1033281902
Name:MEDCHOICE, INC
Entity Type:Organization
Organization Name:MEDCHOICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGEER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:METZGER
Authorized Official - Suffix:
Authorized Official - Credentials:PA,MPA
Authorized Official - Phone:610-869-9330
Mailing Address - Street 1:900 WEST BALTIMORE PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390
Mailing Address - Country:US
Mailing Address - Phone:610-869-9330
Mailing Address - Fax:610-869-0660
Practice Address - Street 1:900 WEST BALTIMORE PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390
Practice Address - Country:US
Practice Address - Phone:610-869-9330
Practice Address - Fax:610-869-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045839L261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center