Individual
MS. AMANDA ASCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 HOSPITAL AVE STE 315, DU BOIS, PA 15801-1465
(814) 503-4305
(814) 503-4307
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT232701
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT232701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104384572
—
PA
Enumeration date
07/03/2024
Last updated
09/11/2025
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