Individual
AMANDA MICHELLE PEBENITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3737 MARKET ST FL 11, PHILADELPHIA, PA 19104-5545
(215) 662-8900
(215) 662-0950
Mailing address
3400 CIVIC CENTER BLVD, SOUTH PAVILION - 7TH FLOOR, PHILADELPHIA, PA 19104-5127
(215) 349-8222
(215) 615-1917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD479296
PA
207RG0100X
Gastroenterology Physician
Primary
MD479296
PA
Other
Enumeration date
04/30/2018
Last updated
08/28/2024
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