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Amanda Fidiam, PA-C
NPI 1003193202 · on the registry since 2011
Practice
- Address
- 340 Montage Mountain Rd
Moosic, PA 18507 - Phone
- (570) 346-3686
- Fax
- (570) 558-6838
- Organisation at this address
- Danilo De Soto Md Pc
Matthew A Berger Md Pc
Comprehensive Care Clinic
Integrated Wellness Recovery Pc
Penn Neurology And Psychiatry Associates, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 85
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania