Individual
AMANDA LAUREN BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(516) 851-9391
Mailing address
15 THE BIRCHES, ROSLYN, NY 11576-1701
(516) 851-9391
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
342669
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/11/2026
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