Individual
MARIA L FUDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
545 W GERMANTOWN PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462-1349
(484) 351-8268
(484) 351-8275
Mailing address
545 W GERMANTOWN PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462-1349
(484) 351-8268
(484) 351-8275
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051378
PA
363AS0400X
Surgical Physician Assistant
MA051378
PA
Other
Enumeration date
03/23/2007
Last updated
03/19/2019
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