Individual provider · Type 1 NPI
Martene Jacqueline Imboden, PAC
Surgical Physician Assistant · Fountain Hill, PA
NPI number
1992212708
Active
Practice location
701 Ostrum St Ste 603
Fountain Hill, PA 18015-1184
Fax (610) 868-2915
Other practice locations
- 701 Ostrum St Ste 603, Fountain Hill, PA 18015-1184 · (484) 526-3990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA059556 (PA) |
Surgical Physician Assistant: Definition to come...
5 other providers at this address
- Alex D'angeloThoracic Surgery (Cardiothoracic Vascular Surgery) Physician Fountain Hill, PA NPI 1750745071
- Andrew Robert Mayette, PA-CPhysician Assistant Fountain Hill, PA NPI 1689982753
- Kelly Cemelli, PA-CPhysician Assistant Fountain Hill, PA NPI 1285064154
- Kevin Patrick McGill, PASurgical Physician Assistant Fountain Hill, PA NPI 1114136454
- William Ermelindo Gioia, DOThoracic Surgery (Cardiothoracic Vascular Surgery) Physician Fountain Hill, PA NPI 1770840373
Other surgical physician assistant providers in Fountain Hill
About NPI 1992212708
Martene Jacqueline Imboden, PAC's National Provider Identifier is 1992212708, issued on Jan 2, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fountain Hill, PA. The record was last updated on Jan 8, 2018.