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Individual

AMANDA L BEMBIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4815 LIBERTY AVE STE 250, PITTSBURGH, PA 15224-2156
(412) 578-1152
(412) 605-6669
Mailing address
4815 LIBERTY AVE STE 250, PITTSBURGH, PA 15224-2156
(412) 578-1152
(412) 605-6669

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058229
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1032088750001
PA
01
13872795
CAQH
PA
Enumeration date
06/16/2016
Last updated
06/18/2021
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