Healthcare Provider Details

I. General information

NPI: 1245344076
Provider Name (Legal Business Name): AMANDA FLICKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 HAMILTON BLVD SUITE 201
ALLENTOWN PA
18103-6122
US

IV. Provider business mailing address

PO BOX 783311
PHILADELPHIA PA
19178-3311
US

V. Phone/Fax

Practice location:
  • Phone: 484-664-7555
  • Fax: 484-664-7550
Mailing address:
  • Phone: 484-884-4500
  • Fax: 484-884-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD421611
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: