Healthcare Provider Details

I. General information

NPI: 1700872843
Provider Name (Legal Business Name): ANDREA CATALANO AMOIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA CATALANO MD

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 07/24/2021
Certification Date: 07/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 E COUNTY LINE RD
HATBORO PA
19040-1204
US

IV. Provider business mailing address

483 E COUNTY LINE RD
HATBORO PA
19040-1204
US

V. Phone/Fax

Practice location:
  • Phone: 215-441-5670
  • Fax: 215-441-5661
Mailing address:
  • Phone: 215-441-5670
  • Fax: 215-441-5661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD 418748
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier101012617
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: