Western Main Line Medical Associates, LLC

NPI #1427246321 in Exton, Pennsylvania

Provider Information

NPI Number: 1427246321
Entity Type: Organization
Organization Name: Western Main Line Medical Associates, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 5, 2007
Last Updated: Oct 5, 2007

Practice Location

Address: 460 CREAMERY WAY
Address 2: SUITE 104
City: Exton
State: Pennsylvania
ZIP Code: 19341-2533
Phone: (610) 280-7960

Authorized Official

Name: DR. ANDREW B ULICHNEY, MD
Title: PRINCIPAL
Phone: (610) 280-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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