Individual provider · Type 1 NPI

Melody Dieckman, PA-C

Medical Physician Assistant · Plymouth Meeting, PA

NPI number 1629856257 Active

Practice location

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Mailing address

86-6 Ferne Blvd
Drexel Hill, PA 19026-5464

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XOA006810 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1629856257

Melody Dieckman, PA-C's National Provider Identifier is 1629856257, issued on Sep 15, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Jul 9, 2024.