NPI 1194121459 · live from the CMS NPI Registry
Aggie MD Wholistic Doctor LLC
Family Medicine in Chesterbrook, PA. National Provider Identifier 1194121459, active.
NPI record
| NPI | 1194121459 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 50 Flintlock Ln, Chesterbrook, PA 19087 |
| Practice phone | 610-506-4874 |
| Enumerated | November 14, 2014 |
| Last updated | November 14, 2014 |
| Authorized official | Agnes Hewitt, MD |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | MD426246 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.