Individual
ELIJAH WADE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE, SUITE 275 LANKENAU MED SCI BLDG, WYNNEWOOD, PA 19096-3450
(610) 642-1908
(610) 642-6808
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD454180
PA
2086S0120X
Pediatric Surgery Physician
MD454180
PA
Other
Enumeration date
05/21/2012
Last updated
11/20/2025
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