Individual
AMELIA M WITHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILA, PA 19124-2343
(215) 831-4600
Mailing address
1025 REMINGTON RD, WYNNEWOOD, PA 19096-2327
(610) 658-5818
(615) 658-5818
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD051115L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015620410001
—
PA
01
—
MD051115L
LICENSE NUMBER
PA
Enumeration date
05/16/2006
Last updated
07/08/2007
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