# BERWYN HEALTH AND WELLNESS PC

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

## Provider details

- **NPI number:** 1417712662
- **Authorized official:** MR. ZYGMUNT PORADA III (TREASURER)
- **Authorized official phone:** (443) 641-6227

## Contact information

- **Practice address:** 901 LANCASTER AVE STE 100, BERWYN, PA 19312-1710
- **Practice address phone:** (610) 251-2525
- **Mailing address:** 901 LANCASTER AVE STE 100, BERWYN, PA 19312-1710
- **Mailing address phone:** (610) 251-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 02/16/2024
- **Last updated:** 02/16/2024