Organization
BRYN MAWR PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINIFRED A. CONSTABLE MD (OWNER)
(610) 520-1127
Entity
Organization
Contact information
Practice address
735 OLD LANCASTER RD, BRYN MAWR, PA 19010-3414
(610) 520-1127
(610) 520-1143
Mailing address
735 OLD LANCASTER RD, BRYN MAWR, PA 19010-3414
(610) 520-1127
(610) 520-1143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102639968-0001
—
PA
Enumeration date
02/07/2011
Last updated
11/28/2011
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