Individual provider · Type 1 NPI

Amanda Lynn Niemcewicz, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1972823144 Active

Practice location

3401 N Broad St, 7th Floor Out Patient Building
Philadelphia, PA 19140-5103

Fax (215) 707-1387

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA001297L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1972823144

Amanda Lynn Niemcewicz, PA-C's National Provider Identifier is 1972823144, issued on Jun 10, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 21, 2017.