Organization
MAIN LINE PSYCHIATRIC ASSOC. LTD
Active
Organization
MAIN LINE PSYCHIATRIC ASSOC. LTD
Active
Other names
DEWITT H MONTGOMERY JR MD
Organization subpart
No
Provider details
NPI number
Authorized official
DEWITT H MONTGOMERY JR. MD (PRESIDENT)
(610) 457-3744
Entity
Organization
Contact information
Practice address
100 LANCASTER AVENUE, 441 LANKENAU MEDICAL BUILDING, WYNNEWOOD, PA 19096
(610) 457-3744
(610) 667-9123
Mailing address
PO BOX 3012, WILMINGTON, DE 19804
(800) 456-4629
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0242722
PA
Other
Enumeration date
08/18/2006
Last updated
08/18/2008
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