Individual
GWYNN AMOROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2342 S BROAD ST, PHILADELPHIA, PA 19145-4451
(215) 462-8700
(215) 462-8704
Mailing address
2342 S BROAD ST, PHILADELPHIA, PA 19145-4451
(215) 462-8700
(215) 462-8704
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051398
PA
363AM0700X
Medical Physician Assistant
OA000920
PA
Other
Enumeration date
08/16/2006
Last updated
04/28/2009
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