Individual
DR. JOHN C WITHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 MEDICAL CENTER BLVD STE 104, CHESTER, PA 19013-3955
(610) 874-5261
(610) 874-0318
Mailing address
30 MEDICAL CENTER BLVD STE 104, CHESTER, PA 19013-3955
(610) 874-5261
(610) 874-0318
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD060067L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117305590
—
PA
Enumeration date
09/30/2005
Last updated
11/01/2020
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