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Individual

CARLY AMANDA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1250 S CEDAR CREST BLVD, STE 110, ALLENTOWN, PA 18103-6224
(610) 435-1003
(610) 435-3184
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054964
PA

Other

Enumeration date
08/08/2011
Last updated
02/24/2025
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