Individual
AMANDA CATHERINE MICUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
833 CHESTNUT ST, SUITE 300, PHILADELPHIA, PA 19107-4405
(215) 861-8800
(215) 861-8815
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-5985
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS015161
PA
Other
Enumeration date
06/08/2007
Last updated
02/20/2025
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