Individual
BRIDGET THERESA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE, SUITE 275 LANKENAU MEDICAL SCI BLD, WYNNEWOOD, PA 19096-3450
(610) 642-1908
(610) 642-6808
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(610) 642-1908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA067280
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
01/21/2026
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