| Chester County Infectious Diseases, Llc | |
|
520 Maple Ave Suite 4 West Chester PA 19380-4434 | |
| (610) 430-8200 | |
| (610) 350-3099 |
| Full Name | Chester County Infectious Diseases, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Maple Ave, West Chester, Pennsylvania |
| Authorized Official Name and Position | Nasrin Golshan (PHYSICIAN) |
| Authorized Official Contact | 6104308200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester County Infectious Diseases, Llc Po Box 1520 Exton PA 19341-0110 Ph: (610) 594-7590 | Chester County Infectious Diseases, Llc 520 Maple Ave Suite 4 West Chester PA 19380-4434 Ph: (610) 430-8200 |
| NPI Number | 1730433186 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 11/07/2012 |
| Medicare PECOS PAC ID | 4183877012 |
|---|---|
| Medicare Enrollment ID | O20121231000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730433186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Nasrin Golshan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821169236 PECOS PAC ID: 2860546132 Enrollment ID: I20090820000713 |
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