Organization
MAIN LINE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WITTMAN M.H.S. (THERAPIST)
(484) 565-1130
Entity
Organization
Contact information
Practice address
401 PILGRIM LN, SUITE 103, DREXEL HILL, PA 19026-5000
(484) 476-6543
Mailing address
479 PILGRIM LA, SUITE 103, DREXEL HILL, PA 19026
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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