Individual
DR. REBECCA S WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
255 W LANCASTER AVE, SUITE 237 PAOLI MOB III, PAOLI, PA 19301-1763
(484) 565-1212
(484) 565-8881
Mailing address
255 W LANCASTER AVE, SUITE 237 PAOLI MOB III, PAOLI, PA 19301-1763
(484) 565-1212
(484) 565-8881
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD036577E
PA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
MD036577E
PA
Other
Enumeration date
01/31/2007
Last updated
02/05/2019
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