# AGGIE MD WHOLISTIC DOCTOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194121459
- **Authorized official:** DR. AGNES MARIE HEWITT MD (MD)
- **Authorized official phone:** (610) 506-4874

## Contact information

- **Practice address:** 50 FLINTLOCK LN, CHESTERBROOK, PA 19087-5634
- **Practice address phone:** (610) 506-4874
- **Practice address fax:** (215) 881-9700
- **Mailing address:** 50 FLINTLOCK LN, CHESTERBROOK, PA 19087-5634
- **Mailing address phone:** (610) 506-4874
- **Mailing address fax:** (215) 881-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD426246 | PA | Yes |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 11/14/2014