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Contact Information

STEPHEN M GOLLOMP, MD
100 E LANCASTER AVE
SUITE 161
WYNNEWOOD, PA19096-3450
 Phone: 610-642-5371
 Fax: 610-642-5658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for STEPHEN M GOLLOMP · (Male)

NPI # 1194723585
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2005
Last updated 02/25/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD024887E
  • PA Medicaid 0808737
Hospital affiliation(s)
  • MAIN LINE HOSPITAL LANKENAU - (Acute Care)
    100 LANCASTER AVE
    WYNNEWOOD, PA 19096
  • MAIN LINE HOSPITAL PAOLI - (Acute Care)
    255 WEST LANCASTER AVENUE
    PAOLI, PA 19301
  • RIDDLE MEMORIAL HOSPITAL - (Acute Care)
    1068 WEST BALTIMORE PIKE
    MEDIA, PA 19063
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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