Individual
AMANDA NUSSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 S 9TH ST STE 210, PHILADELPHIA, PA 19107-6810
(215) 955-8430
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6262
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD474611
PA
Other
Enumeration date
04/05/2016
Last updated
10/21/2021
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