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NPI Code Detail

MEDICARE: DR. COURTNEY MERCHANT M.D.

MEDICARE: DR. COURTNEY MERCHANT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine PhysicianMD468963PA
22080N0001XNeonatal-Perinatal Medicine PhysicianA111959CA
3208000000XPediatrics PhysicianA111959CA

General Provider Information

NPI Number : 1164730008
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY MERCHANT M.D.
Provider Business Mailing Address
First Line : 301 S 8TH ST STE 1D
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-4015
Country : US
Telephone Number : 158-293-1912
Fax Number :
Provider Business Practice Location Address
First Line : 595 W STATE ST
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-2597
Country : US
Telephone Number : 215-345-2966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2010
Last Update Date : 11/30/2022

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