Individual
AMANDA SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3831
Mailing address
220 BUTTONWOOD ST, DELANCO, NJ 08075-4409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP001251
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP001251
STATE LICENSE
NJ
Enumeration date
10/18/2006
Last updated
07/08/2007
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