Individual provider · Type 1 NPI
Gwynn Amoroso, PA
Medical Physician Assistant · Philadelphia, PA
NPI number
1609989631
Active
Practice location
2342 S Broad St
Philadelphia, PA 19145-4451
Fax (215) 462-8704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | OA000920 (PA) |
| Medical Physician Assistant Primary | 363AM0700X | MA051398 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1609989631
Gwynn Amoroso, PA's National Provider Identifier is 1609989631, issued on Aug 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 28, 2009.