Individual provider · Type 1 NPI

Theodros Mariam, PA

Medical Physician Assistant · Norristown, PA

NPI number 1679743330 Active

Practice location

1033 W Germantown Pike, Valley Forge Medical Center & Hospital
Norristown, PA 19403-3905

Mailing address

189 Community Dr
Lansdale, PA 19446-6212

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA053056 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1679743330

Theodros Mariam, PA's National Provider Identifier is 1679743330, issued on Mar 9, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norristown, PA. The record was last updated on Feb 3, 2010.