Provider Demographics
NPI:1942455621
Name:FINSTEIN, MEGAN WEYDERT (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:WEYDERT
Last Name:FINSTEIN
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 1:935 SPRUCE ST
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5895
Mailing Address - Country:US
Mailing Address - Phone:504-905-7956
Mailing Address - Fax:
Practice Address - Street 1:115 UNION MILL RD
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-6299
Practice Address - Country:US
Practice Address - Phone:856-778-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00210400363A00000X
PAMA053699363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant