Search › Pennsylvania › 363A00000X
Amanda Poulos, PA
NPI 1508377060 · on the registry since 2017
Practice
- Address
- 1412 Fairmount Ave
Philadelphia, PA 19130 - Phone
- (215) 235-9600
- Fax
- (215) 684-5360
- Clinicians at this address
- 37
Additional practice sites
- 3 Cooper Plz Rm 300, Camden, NJ
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-09
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