Individual
MARIA CONWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1590 MEDICAL DRIVE, SUITE E, POTTSTOWN, PA 19464
(610) 326-4980
(610) 326-4435
Mailing address
1590 MEDICAL DRIVE, SUITE E, POTTSTOWN, PA 19464
(610) 326-4980
(610) 326-4435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD052100L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017871300006
—
PA
Enumeration date
12/14/2006
Last updated
12/15/2011
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