Performance Spine and Sports Medicine of Newtown, LLC
NPI #1104161884 in Newtown, Pennsylvania
Provider Information
- NPI Number
- 1104161884
- Entity Type
- Organization
- Organization Name
- Performance Spine and Sports Medicine of Newtown, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 6, 2012
- Last Updated
- Oct 2, 2013
Practice Location
- Address
- 828A NEWTOWN YARDLEY RD
- City
- Newtown
- State
- Pennsylvania
- ZIP Code
- 18940-4012
- Phone
- (215) 504-2223
Authorized Official
- Name
- DR. MATTHIAS HEINZ WIEDERHOLZ, M.D.
- Title
- OWNER
- Phone
- (215) 504-2223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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