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Specialty details in registry · Chadds Ford, PA

Call (719) 517-6905 Directions

At a glance

225 Wilmington W Chester Pike, Chadds Ford, PA 19317-9011

NPPES record updated Apr 6, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

225 Wilmington W Chester Pike
Chadds Ford, PA 19317-9011
Professional details: NPI, taxonomy & registry record
NPI1306601091
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251G00000X
Enumeration date
Feb 21, 2024
Record updated
Apr 6, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

163WH1000X

Specialty details in registry

207LH0002X

Specialty details in registry

207PH0002X

Specialty details in registry

207QH0002X

Specialty details in registry

207RH0002X

Specialty details in registry

207VH0002X

Specialty details in registry

2080H0002X

Specialty details in registry

2081H0002X

Specialty details in registry

251G00000X · Primary

Specialty details in registry

315D00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

225 Wilmington W Chester Pike
Chadds Ford, PA 19317-9011
Phone
(719) 517-6905
Fax
(585) 502-1157
Mailing address
4299 SMITH RD

LOGANVILLE, GA 300522504
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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