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NPI Code Detail

MEDICARE: AMY DORAN PA-C

MEDICARE: AMY DORAN 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
1363AM0700XMedical Physician AssistantMA052034PA

General Provider Information

NPI Number : 1427000660
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY DORAN PA-C
Provider Business Mailing Address
First Line : 40 PAOLI PIKE
Second Line :
City : PAOLI
State : PA
Zip : 19301-1824
Country : US
Telephone Number : 610-447-8840
Fax Number : 610-447-8895
Provider Business Practice Location Address
First Line : 30 MEDICAL CENTER BLVD
Second Line : SUITE 202
City : CHESTER
State : PA
Zip : 19013-3955
Country : US
Telephone Number : 610-447-8840
Fax Number : 610-447-8895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/08/2007

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Directions to “ AMY DORAN PA-C” Practice Location

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