OrganizationActive
Internal Medicine Associates, P C
NPI 1104989078 · Adolescent Medicine (Internal Medicine) Physician · West Grove, PA
Provider details
- NPI number
- 1104989078
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donna Ciletti, Practice Manager(610) 869-3620
- License
- OS004477L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1011 W Baltimore Pike
Suite 301
West Grove, PA 19390-9446
Phone: (610) 869-3620
Fax: (610) 869-0358
Approximate (ZIP-level) locationGet directions
Mailing address
1011 W Baltimore Pike
West Grove, PA 19390-9446
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2008-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.