Individual
DR. AMANDA ZETA DE LA PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 SHURS LN STE 203, PHILADELPHIA, PA 19127-2123
(215) 482-1234
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD450403
PA
Other
Enumeration date
03/27/2011
Last updated
05/11/2016
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