Individual
AMANDA MICHEL MARINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
919 N FRONT ST APT G, PHILADELPHIA, PA 19123-1715
(856) 889-8816
Mailing address
919 N FRONT ST APT G, PHILADELPHIA, PA 19123-1715
(856) 889-8816
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00369500
NJ
363AM0700X
Medical Physician Assistant
Primary
MA057653
PA
Other
Enumeration date
06/16/2015
Last updated
10/04/2019
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