Healthcare Provider Details

I. General information

NPI: 1437167475
Provider Name (Legal Business Name): NAWAL G METRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 MCDANIEL DR
WEST CHESTER PA
19380-7034
US

IV. Provider business mailing address

1536 MCDANIEL DR
WEST CHESTER PA
19380-7034
US

V. Phone/Fax

Practice location:
  • Phone: 610-431-1816
  • Fax: 610-431-6993
Mailing address:
  • Phone: 610-431-1816
  • Fax: 610-431-6993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberMD032249L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: