Organization
BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS J MILITELLO (CEO)
(610) 527-3800
Entity
Organization
Contact information
Practice address
937 E HAVERFORD RD, SUITE 103, BRYN MAWR, PA 19010-3800
(610) 527-8844
(610) 527-6658
Mailing address
825 OLD LANCASTER RD, STE 320, BRYN MAWR, PA 19010-3231
(610) 527-3800
(610) 527-0334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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