Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MT216095 | PA |
NPI | 1245625169 |
---|---|
Provider Name | Meghan Kiley Metcalf |
First Address | Mineola, NY 11501-1322 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 09/03/2021 |