Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTENE JACQUELINE IMBODEN, PAC
ActiveMARTENE JACQUELINE IMBODEN, PAC is a Surgical Physician Assistant healthcare provider located in FOUNTAIN HILL, Pennsylvania. NPI 1992212708 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FOUNTAIN HILL, PA
Registration Details
- NPI Number
- 1992212708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2018 (8.5925343494923 yrs)
- Last Updated
- Jan 8, 2018
- License
-
MA059556 (PA)
Practice Information
- Address
-
701 OSTRUM ST STE 603FOUNTAIN HILL, PA, 180151184Browse PA providers · Browse ZIP 18015
- Phone
- 4845263990
- Fax
- 6108682915
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in FOUNTAIN HILL, PA
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN MCFARLAND | PAC | 1699963967 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.