OrganizationActive
Maenpaa Sports Medicine LLC
NPI 1679873970 · Sports Medicine (Internal Medicine) Physician · Philadelphia, PA
Provider details
- NPI number
- 1679873970
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Garath Maenpaa, Owner(610) 209-2912
- License
- MD073775-L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
829 Spruce St
Suite308
Philadelphia, PA 19107-5752
Phone: (215) 334-5346
Approximate (ZIP-level) locationGet directions
Mailing address
486 King Ave
Collingswood, NJ 08108-1430
Registry dates
- Enumerated
- 2010-11-02
- Last updated
- 2011-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.