Doctor Name: | MARTA MOLAK |
NPI Number: | 1700284643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA057362 |
Business Practice Address: | 713 Bethlehem Pike Montgomeryville, PA - 189369602 |
Business Phone Number: | 2676953944 |
Business Fax Number: | |
Mailing Address: | 1155 York Rd Apt D4, WARMINSTER |
State: | PA |
Postal Code: | 189742023 |
Phone Number: | 6104288823 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2014 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA057362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |