Individual
MEGAN ROACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(610) 284-8100
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-5030
(215) 707-3494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA055574
PA
363AM0700X
Medical Physician Assistant
Primary
MA055574
PA
Other
Enumeration date
06/27/2012
Last updated
11/05/2021
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