| Coventry Medical Group - Fp#1 | |
|
730 S Hanover St Pottstown PA 19465-7520 | |
| (610) 323-6835 | |
| (610) 323-4154 |
| Full Name | Coventry Medical Group - Fp#1 |
|---|---|
| Speciality | Family Medicine |
| Location | 730 S Hanover St, Pottstown, Pennsylvania |
| Authorized Official Name and Position | Gary Douglas Newsome (PRESIDENT) |
| Authorized Official Contact | 6153739600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coventry Medical Group - Fp#1 730 S Hanover St Pottstown PA 19465-7520 Ph: (610) 323-6835 | Coventry Medical Group - Fp#1 730 S Hanover St Pottstown PA 19465-7520 Ph: (610) 323-6835 |
| NPI Number | 1760484539 |
|---|---|
| Provider Enumeration Date | 08/11/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760484539 | NPI | - | NPPES |
| 1007517440010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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