Individual
DR. AMANDA C RODSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 770-5000
Mailing address
700 QUINCY AVE, SCRANTON, PA 18510-1724
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-34423
KS
207P00000X
Emergency Medicine Physician
AM-9707805-3219
NY
207P00000X
Emergency Medicine Physician
MD438010
PA
207P00000X
Emergency Medicine Physician
MT194084
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002087
MEDICARE PTAN
KS
01
—
200658040A
MEDICAID KMAP ID
KS
Enumeration date
06/30/2008
Last updated
09/24/2015
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