Individual provider · Type 1 NPI
Amanda Michel Marinova, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1669853628
Active
Practice location
919 N Front St Apt G
Philadelphia, PA 19123-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00369500 (NJ) |
| Medical Physician Assistant Primary | 363AM0700X | MA057653 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1669853628
Amanda Michel Marinova, PA-C's National Provider Identifier is 1669853628, issued on Jun 16, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 4, 2019.