Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-2749
(215) 938-3829
Mailing address
PO BOX 8500-4081, PHILADELPHIA, PA 19178-4081
(215) 856-1010
(215) 856-1141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C5-0000733
DE
363AM0700X
Medical Physician Assistant
Primary
MA055636
PA
Other
Enumeration date
01/06/2011
Last updated
04/01/2016
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