Individual
MRS. AMANDA LAUREN PITTILLO
Active
Individual
MRS. AMANDA LAUREN PITTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
C07081
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C07081
PA LICENSE NUMBER
MD
Enumeration date
02/27/2019
Last updated
02/27/2019
Update your record
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