Healthcare Provider Details

I. General information

NPI: 1497508220
Provider Name (Legal Business Name): MEAGAN HOPPE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 CHESTNUT ST FL 6
PHILADELPHIA PA
19107-4204
US

IV. Provider business mailing address

1128 SW WHISPER RIDGE TRL
PALM CITY FL
34990-2045
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-6784
  • Fax:
Mailing address:
  • Phone: 484-885-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: