Individual provider · Type 1 NPI

Amanda Lyn Fidiam, PA-C

Medical Physician Assistant · Moosic, PA

NPI number 1003193202 Active

Practice location

340 Montage Mountain Rd
Moosic, PA 18507-1782

Fax (570) 558-6838

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA055142 (PA)

Medical Physician Assistant: Definition to come...

87 other providers at this address

Other medical physician assistant providers in Moosic

See all in Moosic →

About NPI 1003193202

Amanda Lyn Fidiam, PA-C's National Provider Identifier is 1003193202, issued on Nov 16, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Moosic, PA. The record was last updated on Sep 4, 2014.