Individual
MRS. AMANDA LYNN NIEMCEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 N BROAD ST, 7TH FLOOR OUT PATIENT BUILDING, PHILADELPHIA, PA 19140-5103
(215) 707-3008
(215) 707-1387
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3008
(215) 707-1387
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001297L
PA
Other
Enumeration date
06/10/2010
Last updated
03/21/2017
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