Individual
AMANDA CAPPUCCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1055 ANDREW DR STE A, WEST CHESTER, PA 19380-3446
(610) 692-4270
Mailing address
1055 ANDREW DR STE A, WEST CHESTER, PA 19380-3446
(732) 759-5260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA065950
PA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
11/13/2024
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