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NPI Code Detail

MEDICARE: DR. BRIAN ABEL AMANCIO MD, MPH

MEDICARE:  DR. BRIAN ABEL AMANCIO  MD, MPH
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPA

General Provider Information

NPI Number : 1881534188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN ABEL AMANCIO MD, MPH
Provider Business Mailing Address
First Line : 2601 HOLME AVE
Second Line : 3RD FLOOR MARIAN BLDG
City : PHILADELPHIA
State : PA
Zip : 19152-2096
Country : US
Telephone Number : 215-335-6520
Fax Number : 267-350-7441
Provider Business Practice Location Address
First Line : 2601 HOLME AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2096
Country : US
Telephone Number : 215-335-6520
Fax Number : 267-350-7441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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