Provider Demographics
NPI:1871023259
Name:NEUMEISTER, EVYN LEIGH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:EVYN
Middle Name:LEIGH
Last Name:NEUMEISTER
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:3500 CIVIC CENTER BLVD RM 11570
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4395
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-2208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125070773208200000X
NJ25MA12287800208200000X
PAMD484855208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery