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NPI Code Detail

MEDICARE: MRS. SAVANNAH LEIGH CIARAMELLA PA-C

MEDICARE:  MRS. SAVANNAH LEIGH CIARAMELLA  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA059043PA

General Provider Information

NPI Number : 1043730898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAVANNAH LEIGH CIARAMELLA PA-C
Provider Business Mailing Address
First Line : 200 ST LUKES LN
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 ST LUKES LN
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-6218
Country : US
Telephone Number : 484-503-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2017
Last Update Date : 01/22/2026

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Directions to “ MRS. SAVANNAH LEIGH CIARAMELLA PA-C” Practice Location

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