Individual
MEGAN L FERDERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26 STATION CIR, HAZLE TOWNSHIP, PA 18202-9726
(570) 861-8710
(570) 497-4046
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(570) 501-6368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017-00865
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD458510
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386082147
—
NC
01
—
19QNW
BCBS
NC
01
—
NCX278A
MEDICARE
NC
Enumeration date
06/13/2013
Last updated
02/21/2023
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