Individual
AUDREY CAMILLE ANATALIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1230 S CEDAR CREST BLVD STES 301, 302, 304, ALLENTOWN, PA 18103-6212
(610) 432-4529
(610) 432-2206
Mailing address
1230 S CEDAR CREST BLVD STE 301, ALLENTOWN, PA 18103-6212
(610) 432-4529
(610) 432-2206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061088
PA
363AM0700X
Medical Physician Assistant
Primary
MA061088
PA
Other
Enumeration date
11/04/2019
Last updated
06/03/2022
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