Provider Demographics
NPI:1134394695
Name:BIRSNER, MEREDITH L (MD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:L
Last Name:BIRSNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:CHIACCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 OSTRUM ST STE 303
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1152
Mailing Address - Country:US
Mailing Address - Phone:484-526-3900
Mailing Address - Fax:484-526-3908
Practice Address - Street 1:701 OSTRUM ST STE 303
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1152
Practice Address - Country:US
Practice Address - Phone:484-526-3900
Practice Address - Fax:484-526-3908
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD454535207VM0101X, 207VM0101X, 207V00000X
MN62275207VX0000X
MDD0074123207VX0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103061494Medicaid
NJ0465267Medicaid
MD053856600Medicaid
NJ0465267Medicaid
MD053856600Medicaid