Organization
WILMINGTON PHYSICAL MEDICINE AND REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON KRISTOFF (OFFICE MANAGER)
(215) 657-9393
Entity
Organization
Contact information
Practice address
104 SLEEPY HOLLOW DR STE 205, MIDDLETOWN, DE 19709-5842
(215) 486-1800
Mailing address
600 LOUIS DR STE 202, WARMINSTER, PA 18974-2847
(215) 957-5400
(215) 957-5401
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2788078
BLUE CROSS
PA
Enumeration date
03/07/2019
Last updated
06/09/2022
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