MEDICARE: MERLE KAMEN

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
1	225100000X	Physical Therapist	PT002907L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730363037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERLE KAMEN

Provider Business Mailing Address
First Line	:	3300 TOWNSHIP LINE RD STE 102
Second Line	:
City	:	DREXEL HILL
State	:	PA
Zip	:	19026-1925
Country	:	US
Telephone Number	:	610-853-9919
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 TOWNSHIP LINE RD STE 102
Second Line	:
City	:	DREXEL HILL
State	:	PA
Zip	:	19026-1925
Country	:	US
Telephone Number	:	610-853-9919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2007
Last Update Date	:	05/20/2008

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Directions to “ MERLE KAMEN ” Practice Location

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