Individual provider · Type 1 NPI

Amanda Lynne Hatalski, PA-C

Surgical Physician Assistant · Philadelphia, PA

NPI number 1780985630 Active

Practice location

3400 Spruce Street, 4 Silverstein
Philadelphia, PA 19104-4206

Call (215) 662-2626 Map

Fax (215) 349-8195

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA053418 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1780985630

Amanda Lynne Hatalski, PA-C's National Provider Identifier is 1780985630, issued on Nov 9, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 14, 2019.