Individual provider · NPI-1
Megan Ann Brody, PA-C
Physician Assistant · Marlton, NJ
NPI number1548635477
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1548635477
- Entity type
- Individual (NPI-1)
- Name
- Megan Ann Brody
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2015
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00415400 | NJ | Yes |
| 363A00000X | Physician Assistant | 0110005111 | VA |
Other names
- Megan Ann Montgomery (Former Name)
Practice location
10000 Lincoln Dr EMarlton, NJ 08053-3108
Phone 856-630-2931
Mailing address
10000 Lincoln Dr EMarlton, NJ 08053-3108
Phone 856-630-2931 · Fax 703-521-5991
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