Wyncote Physical Medicine & Diagnostic PC
NPI #1043311764 in Wyncote, Pennsylvania
Provider Information
- NPI Number
- 1043311764
- Entity Type
- Organization
- Organization Name
- Wyncote Physical Medicine & Diagnostic PC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 25 WASHINGTON LN
- Address 2
- STE 13C
- City
- Wyncote
- State
- Pennsylvania
- ZIP Code
- 19095-1400
- Phone
- (215) 887-5030
Authorized Official
- Name
- DR. AMELIA L TABUENA, MD
- Title
- ATTENDING PHYSICIAN
- Phone
- (215) 887-5030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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