Provider Demographics
NPI:1174842819
Name:SPEARE, MEGAN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:SPEARE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1098 W BALTIMORE PIKE
Mailing Address - Street 2:SUITE 3403 RIDDLE HEALTH CENTER 3
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5139
Mailing Address - Country:US
Mailing Address - Phone:610-627-4490
Mailing Address - Fax:610-627-4477
Practice Address - Street 1:1098 W BALTIMORE PIKE
Practice Address - Street 2:SUITE 3403 RIDDLE HEALTH CENTER 3
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5139
Practice Address - Country:US
Practice Address - Phone:610-627-4490
Practice Address - Fax:610-627-4477
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2015-02-11
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Provider Licenses
StateLicense IDTaxonomies
PAMD448097208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics