IAN M GOONEWARDENE MD

CHESTNUT HILL CLINIC COMPANY LLC

Dr IAN M GOONEWARDENE MD is a male medical professional, specializing in Hospitalist. He graduated in 1995 from Temple University School Of Medicine.

Contact

CHESTNUT HILL CLINIC COMPANY LLC

8835 GERMANTOWN AVE
PHILA
PA
191182718

Tel: 2152488200

IAN M GOONEWARDENE MD Information

Npi 1679522676
Pac Id 2163444563
Professional Enrollment Id I20051229000232
Last Name GOONEWARDENE
First Name IAN
Middle Name M
Suffix
Gender M
Credential MD
Medical School Name TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty HOSPITALIST
Secondary Specialty 1 INTERNAL MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERNAL MEDICINE
Organization Legal Name CHESTNUT HILL CLINIC COMPANY LLC
Group Practice Pac Id 2860492279
Number Of Group Practice Members 46
Line 1 Street Address 8835 GERMANTOWN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PHILA
State PA
Zip Code 191182718
Phone Number 2152488200
Hospital Affiliation Ccn 1 390044
Hospital Affiliation Lbn 1 READING HOSPITAL
Hospital Affiliation Ccn 2 390026
Hospital Affiliation Lbn 2 CHESTNUT HILL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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