Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1083232748 |
---|---|
Provider Name | Dr. Deirdre Mcnamara |
First Address | Conshohocken, PA 19428 |
Second Address | Conshohocken, PA 19428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2020 |
Last Update Date | 09/07/2020 |