Mary Van Den Berg-wolf MD

NPI 1114915147 - Internal Medicine - 207R00000X

NPI Details
NPI 1114915147
Gender Female
Enumeration Date 10/13/2005
Last Updated 09/04/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
225 E CITY AVE
SUITE 109
BALA CYNWYD PA, 19004-1704, US
Phone (215) 503-3838
Fax
Business Location
225 E CITY AVE
SUITE 109
BALA CYNWYD PA, 19004-1704, US
Phone (215) 503-3838
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD025054E
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According to our database, Dr. Mary Van Den Berg-wolf MD NPI is 1114915147, taxonomy code is 207R00000X and license number is MD025054E, license state is located at Pennsylvania. Mary Van Den Berg-wolf MD physically located at 225 E City Ave, Bala Cynwyd PA, 19004-1704. NPI Number Mary Van Den Berg-wolf MD has the Individual type.

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1114915147 NPI number is provided on an as is basis without warranty of any kind. 1114915147 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Van Den Berg-wolf MD are for informational purposes only.