Organization
BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION
Active
Organization
BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DESILVA (CEO)
(610) 527-3800
Entity
Organization
Contact information
Practice address
825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 19010-3200
(610) 527-3800
(610) 527-0608
Mailing address
825 OLD LANCASTER RD STE 320, BRYN MAWR, PA 19010-3235
(610) 527-3800
(610) 527-0334
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007617390001
—
PA
01
—
0048094000
GROUP PROV #
PA
Enumeration date
06/22/2006
Last updated
03/26/2024
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