MRS. Amanda Lyn Fidiam, PA-C
NPI #1003193202 in Moosic, Pennsylvania
Provider Information
- NPI Number
- 1003193202
- Entity Type
- Individual
- Name
- MRS. Amanda Lyn Fidiam, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 16, 2011
- Last Updated
- Sep 4, 2014
Practice Location
- Address
- 340 MONTAGE MOUNTAIN RD
- City
- Moosic
- State
- Pennsylvania
- ZIP Code
- 18507-1782
- Phone
- (570) 346-3686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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