Individual
VINCENT J MEROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 E LANCASTER AVE, JD LAKENAU PAVILION, MEZZANINE, WYNNEWOOD, PA 19096-3450
(484) 476-1000
(484) 476-9000
Mailing address
100 E LANCASTER AVE, JD LAKENAU PAVILION, MEZZANINE, WYNNEWOOD, PA 19096-3450
(484) 476-1000
(484) 476-9000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA001296L
PA
Other
Enumeration date
02/23/2006
Last updated
12/08/2014
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