Organization
PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHIAS HEINZ WIEDERHOLZ M.D. (OWNER)
(215) 504-2223
Entity
Organization
Contact information
Practice address
828A NEWTOWN YARDLEY RD, NEWTOWN, PA 18940-4012
(215) 504-2223
(215) 504-2141
Mailing address
828A NEWTOWN YARDLEY RD, NEWTOWN, PA 18940-4012
(215) 504-2223
(215) 504-2141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD440879
PA
Other
Enumeration date
12/06/2012
Last updated
10/02/2013
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