MEDICARE: DR. WILLIAM H PFEFFER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	MD16837E	PA

General Provider Information

NPI Number	:	1770589459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM H PFEFFER M.D.

Provider Business Mailing Address
First Line	:	130 S BRYN MAWR AVE
Second Line	:	SUITE 1000 D WING
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-3121
Country	:	US
Telephone Number	:	610-527-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 S BRYN MAWR AVE
Second Line	:	SUITE 1000 D WING
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-3121
Country	:	US
Telephone Number	:	610-527-0800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/08/2007

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