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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | OA006810 (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.