Individual
DR. DEMETRIOS MENEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3039 FOULK RD, GARNET VALLEY, PA 19060-1701
(610) 361-0070
(610) 361-0071
Mailing address
100 E LANCASTER AVE, SUITE 256 LANKENAU MOB EAST, WYNNEWOOD, PA 19096-3450
(610) 649-8055
(610) 649-4367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS014890
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS014890
PA
Other
Enumeration date
11/15/2007
Last updated
08/12/2015
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