Individual provider · Type 1 NPI

Megan Roache, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1073877759 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA055574 (PA)
Medical Physician Assistant Primary 363AM0700XMA055574 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1073877759

Megan Roache, PA-C's National Provider Identifier is 1073877759, issued on Jun 27, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 5, 2021.