Individual
AMY SUDOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 PARK DRIVE, ROUTE 405, MONTGOMERY, PA 17752-8533
(570) 546-4062
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(888) 647-9600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD478986
PA
Other
Enumeration date
04/09/2019
Last updated
01/13/2023
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