Provider Demographics
NPI:1326297920
Name:POCIUS, MEGHAN BERGER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:BERGER
Last Name:POCIUS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 ALTAMONT PL
Mailing Address - Street 2:UNIT 3
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3063
Mailing Address - Country:US
Mailing Address - Phone:301-843-1600
Mailing Address - Fax:
Practice Address - Street 1:4225 ALTAMONT PL
Practice Address - Street 2:UNIT 3
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3063
Practice Address - Country:US
Practice Address - Phone:301-843-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC03850363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical