Individual
MEREDITH ANN DENZINE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
919 CONESTOGA RD, BUILDING 2, SUITE 106, BRYN MAWR, PA 19010-1352
(610) 525-5028
(610) 525-2494
Mailing address
919 CONESTOGA RD, BUILDING 2, SUITE 106, BRYN MAWR, PA 19010-1352
(610) 525-5028
(610) 525-2494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002286
VA
363AM0700X
Medical Physician Assistant
C0003154
MD
363AM0700X
Medical Physician Assistant
Primary
MA053509
PA
Other
Enumeration date
09/28/2006
Last updated
10/01/2008
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