Provider Demographics
NPI:1649202938
Name:WEBB, DENISE A (MD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:A
Last Name:WEBB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3803 W CHESTER PIKE STE 160
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2336
Mailing Address - Country:US
Mailing Address - Phone:484-337-1585
Mailing Address - Fax:484-337-1410
Practice Address - Street 1:1068 W BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063
Practice Address - Country:US
Practice Address - Phone:484-227-4280
Practice Address - Fax:484-227-4230
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD468306207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2347284Medicaid
319464YJOXMedicare Oscar/Certification