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NPI Code Detail

MEDICARE: MS. MAAME-ESI MENYAH PA-C

MEDICARE: MS. MAAME-ESI MENYAH PA-C
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
1363A00000XPhysician AssistantC05054MD
2363A00000XPhysician AssistantMA057313PA

General Provider Information

NPI Number : 1467890251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAAME-ESI MENYAH PA-C
Provider Business Mailing Address
First Line : 335 LAMBS GAP RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2784
Country : US
Telephone Number : 717-591-1425
Fax Number :
Provider Business Practice Location Address
First Line : 335 LAMBS GAP RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2784
Country : US
Telephone Number : 717-591-1425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 05/19/2016

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