Provider Demographics
NPI:1336100924
Name:WEST CHESTER GI ASSOCIATES PC
Entity Type:Organization
Organization Name:WEST CHESTER GI ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-431-3122
Mailing Address - Street 1:915 OLD FERN HILL ROAD
Mailing Address - Street 2:BUILDING B SUITE 300
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-431-3122
Mailing Address - Fax:610-431-4799
Practice Address - Street 1:915 OLD FERN HILL ROAD
Practice Address - Street 2:BUILDING B SUITE 300
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-431-3122
Practice Address - Fax:610-431-4799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016630620003Medicaid
PA0016630620003Medicaid