Individual
HEIDI LEIGH WITTELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1108 E WILLOW GROVE AVE, WYNDMOOR, PA 19038
(215) 233-6226
(215) 233-6380
Mailing address
1108 E WILLOW GROVE AVE, WYNDMOOR, PA 19038-7663
(215) 233-6226
(215) 836-0300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD047240L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014108360010
—
PA
Enumeration date
03/02/2006
Last updated
07/24/2018
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