Individual provider · Type 1 NPI

Amanda Black, PA-C

Medical Physician Assistant · Allentown, PA

NPI number 1821504341 Active

Practice location

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

Fax (610) 402-5959

Mailing address

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA059493 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1821504341

Amanda Black, PA-C's National Provider Identifier is 1821504341, issued on Dec 20, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allentown, PA. The record was last updated on Dec 20, 2017.