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Organization

PRADEEP LOTHE MD PC

Active
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Organization

PRADEEP LOTHE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRADEEP A LOTHE MD (PRESIDENT)
(610) 649-3040
Entity
Organization

Contact information

Practice address
300 EAST LANCASTER AVENUE, WYNNEWOOD HOUSE , SUITE 105A, WYNNEWOOD, PA 19096
(610) 649-3040
(610) 645-0754
Mailing address
300 EAST LANCASTER AVENUE, WYNNEWOOD HOUSE , SUITE 105A, WYNNEWOOD, PA 19096
(610) 649-3040
(610) 645-0754

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD045597L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142714501
—
PA
Enumeration date
09/15/2006
Last updated
09/23/2009
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