Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD464956 | PA |
N | 111NI0900X | Internist | MD464956 | PA |
Y | 207RA0201X | Internist - Allergy & Immunology | MD464956 | PA |
NPI | 1942643705 |
---|---|
Provider Name | Megan Katherine Ford |
First Address | Philadelphia, PA 19107-4313 |
Second Address | Philadelphia, PA 19107-4313 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 12/09/2018 |