Healthcare Provider Details

I. General information

NPI: 1992087100
Provider Name (Legal Business Name): JULIA PALALAY NGAYAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 CONCORD RD
GLEN MILLS PA
19342-1469
US

IV. Provider business mailing address

435 CONCORD RD
GLEN MILLS PA
19342-1469
US

V. Phone/Fax

Practice location:
  • Phone: 610-459-2173
  • Fax: 610-459-9031
Mailing address:
  • Phone: 610-459-2173
  • Fax: 610-459-9031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD030702E
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: