Provider Demographics
NPI:1437167475
Name:METRY, NAWAL G (MD)
Entity Type:Individual
Prefix:
First Name:NAWAL
Middle Name:G
Last Name:METRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 MCDANIEL DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-7034
Mailing Address - Country:US
Mailing Address - Phone:610-431-1816
Mailing Address - Fax:610-431-6993
Practice Address - Street 1:1536 MCDANIEL DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-7034
Practice Address - Country:US
Practice Address - Phone:610-431-1816
Practice Address - Fax:610-431-6993
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032249L207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
E68116Medicare UPIN
ME400143Medicare ID - Type Unspecified