Amanda Catherine Edison
NPI #1518623321 in South Glastonbury, Connecticut
Provider Information
- NPI Number
- 1518623321
- Entity Type
- Individual
- Name
- Amanda Catherine Edison
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Nov 16, 2021
- Last Updated
- Feb 23, 2022
Practice Location
- Address
- 157 STOCKADE RD
- State
- Connecticut
- ZIP Code
- 06073-2118
- Phone
- (860) 331-0060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant - Surgical — Surgical |
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