Individual
AMELIA V AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20397 ROUTE 19, TWO LANDMARK NORTH SUITE 220, CRANBERRY TWP, PA 16066
(724) 772-5430
(724) 772-5431
Mailing address
20397 ROUTE 19, TWO LANDMARK NORTH SUITE 220, CRANBERRY TWP, PA 16066
(724) 772-5430
(724) 772-5431
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD035077L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000690637006
—
PA
Enumeration date
03/07/2006
Last updated
03/08/2012
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