Individual provider · Type 1 NPI

Amanda Middleman

Medical Physician Assistant · Philadelphia, PA

NPI number 1780574376 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-3133 Map

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Other practice locations

  • 23 Monmouth Ave, Berlin, NJ 08009-1184 · (856) 562-5803

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XMA068354 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1780574376

Amanda Middleman's National Provider Identifier is 1780574376, issued on Jul 7, 2025. 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 13, 2026.