Individual
CASSELL AMANDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10510 JEFFERSON AVE, SUITE E, NEWPORT NEWS, VA 23601-3102
(757) 594-2846
(757) 594-1714
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101053724
VA
Other
Enumeration date
05/17/2006
Last updated
01/06/2014
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