Provider Demographics
NPI:1275929093
Name:ANGSTADT, MEGAN LYNN (PA-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:ANGSTADT
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2500 MARYLAND RD STE 400
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1225
Mailing Address - Country:US
Mailing Address - Phone:215-481-4143
Mailing Address - Fax:215-481-6790
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-3145
Practice Address - Fax:215-481-5971
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2020-01-20
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Provider Licenses
StateLicense IDTaxonomies
PAMA057475363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical