Individual
MELODY DIECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
Mailing address
86-6 FERNE BLVD, DREXEL HILL, PA 19026-5464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA006810
PA
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
09/15/2023
Last updated
07/09/2024
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