Provider Demographics
NPI:1841220662
Name:REID-FIGHERA, DEIRDRE ANN (MD)
Entity Type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:ANN
Last Name:REID-FIGHERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEIRDRE
Other - Middle Name:ANN
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1650 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 352
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8004
Mailing Address - Country:US
Mailing Address - Phone:267-571-2151
Mailing Address - Fax:215-379-8387
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 352
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:267-571-2151
Practice Address - Fax:215-379-8387
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428826207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104470WUJOtherMEDICARE GROUP MEMBER #
PAI63583Medicare UPIN