Individual
AMY CHRISTINE PACCAPANICCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2701 HOLME AVE, SUITE 205, PHILADELPHIA, PA 19152-2029
(215) 543-1026
(215) 338-1250
Mailing address
1 W ELM ST, SUITE 100, CONSHOHOCKEN, PA 19428-2007
(610) 567-6967
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA052439
PA
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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