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Organization
WESTERN MAIN LINE MEDICAL ASSOCIATES, LLC
Active
Organization
WESTERN MAIN LINE MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW B ULICHNEY MD (PRINCIPAL)
(610) 280-7960
Entity
Organization
Contact information
Practice address
460 CREAMERY WAY, SUITE 104, EXTON, PA 19341-2533
(610) 280-7960
(610) 280-7962
Mailing address
460 CREAMERY WAY, SUITE 104, EXTON, PA 19341-2533
(610) 280-7960
(610) 280-7962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062918-L
PA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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