Provider Demographics
NPI:1770648727
Name:NEFF, PAMELA M (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:NEFF
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 1:801 SPRUCE STREET
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5701
Mailing Address - Country:US
Mailing Address - Phone:215-829-2345
Mailing Address - Fax:215-829-3365
Practice Address - Street 1:801 SPRUCE STREET
Practice Address - Street 2:8TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5701
Practice Address - Country:US
Practice Address - Phone:215-829-2345
Practice Address - Fax:215-829-3365
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09122700207V00000X
PAMD429297207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019153690001Medicaid
PA2849137000OtherPERSONAL CHOICE
PA30042324OtherKEYSTONE MERCY
PA33630OtherHEALTH PARTNERS
PA7757924OtherAETNA
PA1966021OtherHIGHMARK BLUE SHIELD
PA2849137000OtherKEYSTONE IBC
PA112400QRKMedicare PIN
PA33630OtherHEALTH PARTNERS