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NPI Code Detail

MEDICARE: DR. RAFFI G MEGERIAN MD

MEDICARE: DR. RAFFI G MEGERIAN MD
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
1207R00000XInternal Medicine PhysicianMD421091PA
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD421091PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1232359401OTHERPAMAIN LINE HEALTHCARE

General Provider Information

NPI Number : 1295705911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFFI G MEGERIAN MD
Provider Business Mailing Address
First Line : 10000 SHANNONDELL DR.
Second Line :
City : AUDUBON
State : PA
Zip : 19403-5615
Country : US
Telephone Number : 610-728-5241
Fax Number : 610-728-5322
Provider Business Practice Location Address
First Line : 10000 SHANNONDELL DR.
Second Line :
City : AUDUBON
State : PA
Zip : 19403-5615
Country : US
Telephone Number : 610-728-5241
Fax Number : 610-728-5322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 09/30/2014

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Directions to “ DR. RAFFI G MEGERIAN MD” Practice Location

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