Doctor Name: | MAYSOON M DAYOUB |
NPI Number: | 1083739015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA050846 |
Business Practice Address: | 100 E Lancaster Ave Jd Lankenau Pavilion, Mezzanine Wynnewood, PA - 190963450 |
Business Phone Number: | 4844761000 |
Business Fax Number: | 4844769000 |
Mailing Address: | 100 E Lancaster Ave, Jd Lankenau Pavilion, Mezzanine WYNNEWOOD |
State: | PA |
Postal Code: | 190963450 |
Phone Number: | 4844761000 |
Fax Number: | 4844769000 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA050846 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |