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Contact Information

BOOTHWYN MEDICAL ASSOCIATES P.C.
1440 CONCHESTER HWY
SUITE 5A
BOOTHWYN, PA19061-2124
 Phone: 610-459-3722
 Fax: 610-459-4730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BOOTHWYN MEDICAL ASSOCIATES PC · (Female)

NPI # 1699715086
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2006
Last updated 08/12/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD030635E
  • PA License # MD038926L
  • PA Medicaid 0012788500001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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