Individual
DR. DORI MIDDLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 E LANCASTER AVE, WYNNEWOOD HOUSE, SUITE 306B, WYNNEWOOD, PA 19096-2139
(610) 664-7793
(610) 664-6667
Mailing address
71 MERBROOK LN, MERION STATION, PA 19066-1617
(610) 664-7793
(610) 664-6667
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD042136E
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD042136E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001134591000
—
PA
Enumeration date
09/06/2006
Last updated
07/21/2022
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