Individual
JILDA ANN OPCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-1000
(484) 476-9000
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-1000
(484) 476-9000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054256
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-2359401
MAIN LINE HEALTHCARE TAX ID
PA
Enumeration date
06/23/2010
Last updated
10/24/2017
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