Individual
BETHANY JEANNE WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 OLD LANCASTER RD STE 250, BRYN MAWR, PA 19010-3239
(610) 542-3300
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C06685
MD
363A00000X
Physician Assistant
MA057229
PA
363A00000X
Physician Assistant
Primary
OA003406
PA
Other
Enumeration date
09/15/2014
Last updated
01/05/2021
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