Active NPI 1285659425 Individual Practitioner Male Practitioner

Dr. Daniel B. Roling , MD

Dermatology • Bryn Mawr, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Roling, MD is a certified Dermatology practicing in Bryn Mawr, PA. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Roling delivers high-quality medical care to the local community at 825 OLD LANCASTER RD.

Dr. Roling maintains professional affiliations with Summit Medical Group Pa, Bryn Mawr Medical Specialists Association, University Of Penn - Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

825 Old Lancaster Rd
Suite 320

Bryn Mawr, PA 190103231

Telephone 6105273800

Fax 6105270334

Associated Practice Facility / Clinic

🏢 Bryn Mawr Medical Specialists Association Facility NPI 1841226099

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Bryn Mawr, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +6.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

13 Specialists

Practicing in Bryn Mawr, PA (694 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roling (29 Years) 29 Yrs

Bryn Mawr Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,549	1,071	$121.88	$93.31
17003 Destruction of precancer skin growth, 2-14 growths	1,136	184	$16.17	$6.86
11102 Tangential biopsy of single skin lesion	658	535	$148.59	$100.31
17004 Destruction of precancer skin growth, 15 or more growths	392	258	$216.33	$172.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	276	$180.18	$131.30
17000 Destruction of skin growth	301	255	$101.83	$56.01
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	125	117	$152.05	$135.06
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	124	114	$158.13	$119.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$171.07	$114.27
96900 Application of ultraviolet light to skin	102	15	$36.37	$25.93
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	81	79	$200.00	$137.63
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	66	60	$410.39	$193.73
11103 Biopsy of related skin growth, each additional growth	39	37	$107.95	$52.36
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	34	$250.00	$170.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$307.68	$173.34
17110 Destruction of up to 14 skin growths	26	20	$155.00	$115.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$72.56	$58.50
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$210.00	$155.21
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$190.00	$142.38
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	13	12	$200.00	$150.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,465	994	$144.40	$93.95
17003 Destruction of precancer skin growth, 2-14 growths	1,087	169	$35.85	$7.02
11102 Tangential biopsy of single skin lesion	626	507	$154.59	$104.43
17004 Destruction of precancer skin growth, 15 or more growths	398	260	$234.55	$178.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	266	$221.16	$132.88
17000 Destruction of skin growth	276	236	$107.61	$56.84
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	132	123	$151.94	$134.18
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	121	107	$158.21	$115.42
96900 Application of ultraviolet light to skin	106	12	$42.45	$26.07
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	105	98	$203.96	$140.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$172.00	$116.94
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	77	60	$408.91	$187.76
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	54	50	$250.00	$179.09
11103 Biopsy of related skin growth, each additional growth	45	35	$98.56	$53.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$278.59	$174.81
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	28	$203.86	$140.82
17110 Destruction of up to 14 skin growths	23	19	$161.09	$113.88
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	17	16	$195.29	$157.03
69100 Biopsy of ear	17	15	$185.00	$90.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$166.23	$100.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,381	939	$159.57	$96.27
17003 Destruction of precancer skin growth, 2-14 growths	1,156	183	$45.09	$7.29
11102 Tangential biopsy of single skin lesion	658	541	$149.26	$108.07
17004 Destruction of precancer skin growth, 15 or more growths	403	249	$253.72	$181.01
17000 Destruction of skin growth	271	233	$111.00	$59.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	209	$231.99	$135.10
96900 Application of ultraviolet light to skin	158	17	$30.13	$26.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$171.50	$120.13
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	132	124	$151.94	$141.48
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	124	110	$155.78	$125.17
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	72	63	$204.33	$142.93
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	71	57	$419.32	$194.27
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	56	56	$250.00	$188.34
11103 Biopsy of related skin growth, each additional growth	36	31	$86.39	$55.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$276.33	$179.72
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	27	27	$189.56	$152.01
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	16	$200.00	$156.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$110.00	$60.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,201	846	$105.97	$98.87
17003 Destruction of precancer skin growth, 2-14 growths	1,005	175	$45.05	$7.19
11102 Tangential biopsy of single skin lesion	698	575	$149.35	$112.14
17004 Destruction of precancer skin growth, 15 or more growths	410	261	$254.27	$182.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	292	$162.29	$140.17
17000 Destruction of skin growth	261	229	$110.69	$53.41
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	151	138	$201.38	$152.02
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	131	118	$150.98	$139.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$159.96	$122.33
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	96	89	$157.02	$129.81
96900 Application of ultraviolet light to skin	87	12	$30.00	$26.08
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	77	11	$145.00	$134.07
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	67	60	$420.48	$202.56
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	53	52	$262.89	$192.64
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	50	46	$180.00	$157.69
11103 Biopsy of related skin growth, each additional growth	31	30	$117.10	$59.44
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	29	23	$195.00	$158.88
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	24	$200.00	$177.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$253.39	$183.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$75.75	$61.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	877	640	$160.00	$117.89
17003 Destruction of precancer skin growth, 2-14 growths	667	122	$45.00	$6.60
11102 Tangential biopsy of single skin lesion	471	404	$141.48	$105.88
99213 Established patient office or other outpatient visit, typically 15 minutes	391	299	$105.28	$81.14
17004 Destruction of precancer skin growth, 15 or more growths	315	222	$250.00	$174.11
17000 Destruction of skin growth	172	159	$110.00	$53.90
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	172	11	$145.00	$128.92
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	160	155	$200.00	$149.24
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	112	102	$155.00	$122.71
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	101	97	$150.00	$145.44
96900 Application of ultraviolet light to skin	96	15	$30.00	$24.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$150.00	$116.41
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	47	45	$250.00	$187.98
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	46	44	$180.00	$152.17
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	35	34	$400.00	$208.41
11103 Biopsy of related skin growth, each additional growth	34	23	$80.00	$58.93
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	21	18	$195.00	$158.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$70.00	$49.63
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$200.00	$171.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,072	655	$160.00	$116.41
17003 Destruction of precancer skin growth, 2-14 growths	965	154	$45.00	$6.22
11102 Tangential biopsy of single skin lesion	457	375	$140.00	$103.02
99213 Established patient office or other outpatient visit, typically 15 minutes	410	334	$105.00	$79.74
17004 Destruction of precancer skin growth, 15 or more growths	376	237	$250.00	$165.70
17000 Destruction of skin growth	243	200	$110.00	$59.65
96900 Application of ultraviolet light to skin	203	20	$30.00	$23.68
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	144	123	$200.00	$146.56
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	119	105	$150.00	$140.00
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	118	104	$155.00	$119.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$150.00	$116.75
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	53	38	$180.00	$127.75
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	46	$250.00	$180.70
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	40	36	$400.00	$200.27
11103 Biopsy of related skin growth, each additional growth	32	21	$80.00	$58.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$70.00	$48.63
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	28	28	$200.00	$171.21
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	19	18	$195.00	$160.38
17110 Destruction of up to 14 skin growths	19	14	$155.00	$114.29
17264 Destruction of cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm	15	11	$450.00	$217.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,025	634	$142.78	$113.89
17003 Destruction of precancer skin growth, 2-14 growths	803	129	$45.00	$5.67
11100 Biopsy of single growth of skin and/or tissue	604	479	$145.00	$108.35
17004 Destruction of precancer skin growth, 15 or more growths	335	222	$250.00	$155.75
99213 Established patient office or other outpatient visit, typically 15 minutes	310	262	$91.26	$77.30
17000 Destruction of skin growth	222	188	$110.00	$52.97
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	166	141	$155.00	$120.76
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	124	16	$105.81	$101.53
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	111	94	$150.00	$110.83
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	94	85	$200.00	$148.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$136.45	$115.25
17003 Destruction of precancer skin growth, 2-14 growths	59	12	$31.00	$2.70
11101 Biopsy of each additional growth of skin and/or tissue	55	40	$125.00	$34.64
99213 Established patient office or other outpatient visit, typically 15 minutes	54	52	$93.00	$54.33
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	52	45	$400.00	$198.84
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	39	$250.00	$176.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$60.80	$46.78
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	17	$180.00	$148.62
17004 Destruction of precancer skin growth, 15 or more growths	16	16	$506.00	$108.41
69100 Biopsy of ear	14	14	$185.00	$105.08
17000 Destruction of skin growth	14	14	$205.00	$53.20
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$200.00	$173.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	986	595	$135.00	$113.17
17003 Destruction of precancer skin growth, 2-14 growths	937	154	$45.00	$6.11
11100 Biopsy of single growth of skin and/or tissue	668	501	$145.00	$106.90
17004 Destruction of precancer skin growth, 15 or more growths	367	225	$251.61	$160.45
99213 Established patient office or other outpatient visit, typically 15 minutes	303	251	$90.41	$77.36
17000 Destruction of skin growth	230	195	$110.00	$52.02
96920 Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease	174	11	$250.00	$165.82
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	150	126	$155.00	$123.05
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	138	12	$100.00	$76.83
17003 Destruction of precancer skin growth, 2-14 growths	117	17	$31.00	$2.68
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	97	86	$150.00	$103.93
99213 Established patient office or other outpatient visit, typically 15 minutes	91	74	$94.10	$53.67
11101 Biopsy of each additional growth of skin and/or tissue	81	46	$125.00	$35.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$135.00	$115.05
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	55	53	$250.00	$178.86
17004 Destruction of precancer skin growth, 15 or more growths	42	30	$506.00	$108.02
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	34	33	$400.00	$202.27
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	33	31	$200.00	$143.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$60.00	$46.33
17000 Destruction of skin growth	22	17	$205.00	$56.19
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	20	13	$185.00	$146.23
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$180.00	$155.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$140.00	$82.70

Medical Specialties & State Licenses

CMS Verified: 2021-07-27

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License PA MD069009

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License NJ 25MA11054500

Hospital & Practice Group Affiliations

Bryn Mawr Medical Specialists Association

825 Old Lancaster Rd, Bryn Mawr, PA 190103235

Phone: 6105273800

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

University Of Penn - Medical Group

3400 Spruce St, Philadelphia, PA 191044238

Phone: 2156622737

Secondary Practice Locations

6 Brighton Rd

Clifton, NJ 070121647

Phone: 9737928455

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Isabella Carter

Nurse Practitioner

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Dr. Kendra Zuckerman , MD

Internal Medicine - Rheumatology

NPI 1154351294

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active April 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2017

Registered at 825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 190103231 (Tel: 6105273800)

📍

Updated Business Mailing Address April 06, 2017

Registered at 825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 190103231 (Tel: 6105273800)

👤

Provider Name / Credentials Updated April 06, 2017

Recorded as DANIEL ROLING, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2017

Dermatology (License #MD069009 in PA)

✅

NPI Profile Active January 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2014

Registered at 825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 190103231 (Tel: 6105273800)

📍

Updated Business Mailing Address January 20, 2014

Registered at 825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 190103231 (Tel: 6105273800)

👤

Provider Name / Credentials Updated January 20, 2014

Recorded as DANIEL ROLING, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2014

Dermatology (License #MD069009 in PA)

🟢

Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285659425

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2006

Last Update: July 27, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

825 Old Lancaster Rd, Suite 320

Bryn Mawr, PA 190103231

Phone: 6105273800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.