Provider Demographics
NPI:1346349214
Name:WEST CHESTER PEDIATRICS, INC.
Entity Type:Organization
Organization Name:WEST CHESTER PEDIATRICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FITZPATRIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-779-4006
Mailing Address - Street 1:7665 MONARCH CT
Mailing Address - Street 2:SUITE 104/105
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2497
Mailing Address - Country:US
Mailing Address - Phone:513-779-4006
Mailing Address - Fax:513-779-7018
Practice Address - Street 1:7665 MONARCH CT
Practice Address - Street 2:SUITE 104/105
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2497
Practice Address - Country:US
Practice Address - Phone:513-779-4006
Practice Address - Fax:513-779-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty