Individual provider · Type 1 NPI

Meredith Ann Denzine I, PA-C

Medical Physician Assistant · Bryn Mawr, PA

NPI number 1417049628 Active

Practice location

919 Conestoga Rd, Building 2, Suite 106
Bryn Mawr, PA 19010-1352

Fax (610) 525-2494

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110002286 (VA)
Medical Physician Assistant 363AM0700XC0003154 (MD)
Medical Physician Assistant Primary 363AM0700XMA053509 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1417049628

Meredith Ann Denzine I, PA-C's National Provider Identifier is 1417049628, issued on Sep 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bryn Mawr, PA. The record was last updated on Oct 1, 2008.