Individual
AMANDA MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - GASTROENTEROLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-3249
(215) 590-3606
Mailing address
100 E PENN SQ, 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT190341
PA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD439187
PA
Other
Enumeration date
07/02/2007
Last updated
04/16/2014
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