Individual
DR. GINA MENICHELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
700 HORIZON DR, SUITE 103, CHALFONT, PA 18914-3967
(215) 822-3130
(215) 822-3134
Mailing address
PO BOX 1111, HARLEYSVILLE, PA 19438-0907
(215) 453-4995
(215) 453-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014574
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102315469
—
PA
Enumeration date
06/10/2008
Last updated
01/21/2013
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