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Dr. Samantha Megan Wyckoff, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Philadelphia, Pennsylvania
NPI 1003312810

Samantha Megan Wyckoff is an Addiction Medicine (Psychiatry & Neurology) Physician based in New York, PA and is specialized in Addiction Medicine. Samantha Megan Wyckoff practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Samantha Megan Wyckoff is 1003312810 and holds a License No. 306481-01 (Pennsylvania).

The current practice location address for Samantha Megan Wyckoff is 111 N 49Th St, Philadelphia, PA and can be reached out via phone at 215-471-2600.

Location: 111 N 49Th St, Philadelphia, PA, 10065-4870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003312810
Provider Name
Samantha Megan Wyckoff
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 N 49Th St, Philadelphia, PA, 10065-4870
Phone Number
215-471-2600
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 N 49Th St
City
Philadelphia
State
Pennsylvania
Zip
19139-2718
Phone Number
215-471-2600
Fax Number
person
Provider Business Mailing Address Details
Address
111 N 49Th St
City
Philadelphia
State
Pennsylvania
Zip
19139-2718
Phone Number
215-471-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
()
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
306481-01 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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