Provider Demographics
NPI:1750604377
Name:MENGES, EMILY (PA)
Entity type:Individual
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First Name:EMILY
Middle Name:
Last Name:MENGES
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1999 SPROUL RD
Mailing Address - Street 2:STE 25
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3508
Mailing Address - Country:US
Mailing Address - Phone:610-353-6400
Mailing Address - Fax:610-356-1204
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:MOSS BUILDING 3RD FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-3930
Practice Address - Fax:215-456-1432
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2014-10-15
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Provider Licenses
StateLicense IDTaxonomies
PAMA053174363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical