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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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