Individual
DEFNE AUDREY AMADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
3400 SPRUCE ST, 3W GATES PAVILION, PHILADELPHIA, PA 19104-4206
(215) 662-3372
Mailing address
3400 SPRUCE ST, 3W GATES PAVILION, PHILADELPHIA, PA 19104-4206
(215) 662-3372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199662
PA
2084N0400X
Neurology Physician
Primary
MD454452
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT199662
PA
Other
Enumeration date
05/20/2011
Last updated
07/25/2016
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