Provider Demographics
NPI:1891723235
Name:CHESTER COUNTY OBGYN SERVICES
Entity Type:Organization
Organization Name:CHESTER COUNTY OBGYN SERVICES
Other - Org Name:CHESTER COUNTY OBGYN ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SPAHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-692-3434
Mailing Address - Street 1:600 E MARSHALL ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4441
Mailing Address - Country:US
Mailing Address - Phone:610-692-3434
Mailing Address - Fax:610-692-0265
Practice Address - Street 1:600 E MARSHALL ST
Practice Address - Street 2:SUITE 305
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4441
Practice Address - Country:US
Practice Address - Phone:610-692-3434
Practice Address - Fax:610-692-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019069750001Medicaid
061069Medicare ID - Type Unspecified