Organization
1201 PEDIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY BOMZE MD (PRESIDENT)
(610) 525-2180
Entity
Organization
Contact information
Practice address
1201 COUNTY LINE RD, SUITE 200, BRYN MAWR, PA 19010-2636
(610) 525-2180
(215) 527-2773
Mailing address
1201 COUNTY LINE RD, SUITE 200, BRYN MAWR, PA 19010-2636
(610) 525-3335
(610) 527-2773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/19/2006
Last updated
07/18/2008
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