Individual
AMANDA ROSE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34TH STREET AND CIVIC CENTER BLVD, NEONATAL/INFANT INTENSIVE CARE UNIT, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
34TH STREET AND CIVIC CENTER BLVD, NEONATAL/INFANT INTENSIVE CARE UNIT, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056879
PA
Other
Enumeration date
07/07/2014
Last updated
01/07/2015
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