Individual
TAMMI L MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
420 S 5TH AVE, BLDG N GROUND, WEST READING, PA 19611-2143
(484) 628-0900
(484) 628-0901
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055282
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230271
MEDICARE PTAN
PA
Enumeration date
10/21/2011
Last updated
04/27/2017
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