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Contact Information

DEBORAH PESTRAK
1244 FORT WASHINGTON AVE
SUITE E2
FORT WASHINGTON, PA19034-1743
 Phone: 215-646-1686
 Fax: 215-628-4956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DEBORAH PESTRAK · (Female)

NPI # 1396187456
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2013
Last updated 03/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP012785
Hospital affiliation(s)
  • MAIN LINE HOSPITAL LANKENAU - (Acute Care)
    100 LANCASTER AVE
    WYNNEWOOD, PA 19096
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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