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
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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