Individual
AMANDA A. GUDKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE STREET, GROUND FLOOR RAVDIN, PHILADELPHIA, PA 19104
(215) 662-6698
Mailing address
3400 SPRUCE STREET, GROUND FLOOR RAVDIN, PHILADELPHIA, PA 19104
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00148000
NJ
363AM0700X
Medical Physician Assistant
Primary
MA052159
PA
Other
Enumeration date
09/21/2006
Last updated
02/13/2014
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