MEDICARE: SUZANNE DIXON AMANT 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
1	363AM0700X	Medical Physician Assistant	MA003118L	PA

General Provider Information

NPI Number	:	1215939327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE DIXON AMANT PA- C

Provider Business Mailing Address
First Line	:	3131 COLLEGE HEIGHTS BOULEVARD
Second Line	:	SUITE 1200
City	:	ALLENTOWN
State	:	PA
Zip	:	18104
Country	:	US
Telephone Number	:	610-439-8551
Fax Number	:	610-439-4021

Provider Business Practice Location Address
First Line	:	3131 COLLEGE HEIGHTS BLVD
Second Line	:	SUITE 1200
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-4812
Country	:	US
Telephone Number	:	610-439-8551
Fax Number	:	610-439-4021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/18/2015

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