Individual
AMBER M DAGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2020 TECHNOLOGY PKWY STE 201, MECHANICSBURG, PA 17050-9411
(717) 731-0101
(717) 731-8359
Mailing address
2020 TECHNOLOGY PKWY STE 201, MECHANICSBURG, PA 17050-9411
(717) 731-0101
(717) 731-8359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA056906
PA
363AM0700X
Medical Physician Assistant
Primary
MA056906
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103379890
—
PA
Enumeration date
05/13/2014
Last updated
12/27/2024
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