Organization
WYNCOTE PHYSICAL MEDICINE & DIAGNOSTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMELIA L TABUENA MD (ATTENDING PHYSICIAN)
(215) 887-5030
Entity
Organization
Contact information
Practice address
25 WASHINGTON LN, STE 13C, WYNCOTE, PA 19095-1400
(215) 887-5030
(215) 887-5525
Mailing address
25 WASHINGTON LN, STE 13C, WYNCOTE, PA 19095-1400
(215) 887-5030
(215) 887-5525
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD039601L
PA
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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