Individual
DR. AMANDA J VAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
349 FRANKLIN STREET, CLYMER, PA 15728
(724) 254-4314
(724) 254-2350
Mailing address
349 FRANKLIN STREET, CLYMER, PA 15728
(724) 254-4314
(724) 254-2350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS012706
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010770770001
—
PA
Enumeration date
02/14/2006
Last updated
02/20/2012
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