Provider Demographics
NPI:1821208729
Name:CHESTER VALLEY OBGYN INC
Entity Type:Organization
Organization Name:CHESTER VALLEY OBGYN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRIDGENS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-495-0400
Mailing Address - Street 1:495 W RIDGE PIKE
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1415
Mailing Address - Country:US
Mailing Address - Phone:610-495-0400
Mailing Address - Fax:610-496-5522
Practice Address - Street 1:495 W RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1415
Practice Address - Country:US
Practice Address - Phone:610-495-0400
Practice Address - Fax:610-496-5522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOSOO4589L207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty