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NPI Code Detail

MEDICARE: DR. PAMELA G MEHALICK DO

MEDICARE: DR. PAMELA G MEHALICK DO
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
1208000000XPediatrics PhysicianOS0048256LPA

General Provider Information

NPI Number : 1740222413
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA G MEHALICK DO
Provider Business Mailing Address
First Line : 402 LIPPINCOTT DR
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4112
Country : US
Telephone Number : 856-782-3300
Fax Number : 856-504-8029
Provider Business Practice Location Address
First Line : BALDWIN TOWER
Second Line : 1510 CHESTER PIKE, SUITE 105
City : EDDYSTONE
State : PA
Zip : 19022-1375
Country : US
Telephone Number : 484-485-2005
Fax Number : 484-485-2009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 01/15/2016

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Directions to “ DR. PAMELA G MEHALICK DO” Practice Location

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