Healthcare Provider Details

I. General information

NPI: 1447295779
Provider Name (Legal Business Name): WYNDMOOR REHAB ASSOCIATES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8835 GERMANTOWN AVE
PHILADELPHIA PA
19118-2718
US

IV. Provider business mailing address

832 GERMANTOWN PIKE
PLYMOUTH MEETING PA
19462-2442
US

V. Phone/Fax

Practice location:
  • Phone: 215-233-6200
  • Fax: 610-239-0288
Mailing address:
  • Phone: 610-239-9901
  • Fax: 610-239-0288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL I CHEIKIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 610-239-9901