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NPI Code Detail

MEDICARE: MRS. AMANDA PERRONE PA-C

MEDICARE:  MRS. AMANDA  PERRONE  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 AssistantMA056424PA

General Provider Information

NPI Number : 1811328925
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA PERRONE PA-C
Provider Business Mailing Address
First Line : 1556 LAYTON RD
Second Line :
City : SCOTT TOWNSHIP
State : PA
Zip : 18447-7802
Country : US
Telephone Number : 570-687-0996
Fax Number :
Provider Business Practice Location Address
First Line : 1960 HEART LAKE RD
Second Line :
City : SCOTT TOWNSHIP
State : PA
Zip : 18433-7798
Country : US
Telephone Number : 570-687-0996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2013
Last Update Date : 08/17/2024

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Directions to “ MRS. AMANDA PERRONE PA-C” Practice Location

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