Provider Demographics
NPI:1326035320
Name:SURGICAL ASSOCIATES OF CHESTER COUNTY
Entity Type:Organization
Organization Name:SURGICAL ASSOCIATES OF CHESTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP VP
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-373-9600
Mailing Address - Street 1:213 REECEVILLE RD
Mailing Address - Street 2:SUITE 23
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1528
Mailing Address - Country:US
Mailing Address - Phone:610-384-6550
Mailing Address - Fax:610-384-6329
Practice Address - Street 1:213 REECEVILLE RD
Practice Address - Street 2:SUITE 23
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1528
Practice Address - Country:US
Practice Address - Phone:610-384-6550
Practice Address - Fax:610-384-6329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
089993Medicare ID - Type Unspecified