person
Mrs. Amanda Lyn Fidiam, PA-C
Medical Physician Assistant in Moosic, Pennsylvania
NPI 1003193202

Amanda Lyn Fidiam is a Medical Physician Assistant based in Moosic, PA and is specialized in Medical. Amanda Lyn Fidiam practices in Moosic, PA and has the professional credentials of PA-C. The NPI Number for Amanda Lyn Fidiam is 1003193202 and holds a License No. MA055142 (Pennsylvania).

The current practice location address for Amanda Lyn Fidiam is 340 Montage Mountain Rd, Moosic, PA and can be reached out via phone at 570-346-3686 and via fax at 570-558-6838.

Location: 340 Montage Mountain Rd, Moosic, PA, 18507-1782
person
Provider Profile Details
NPI Number
1003193202
Provider Name
Amanda Lyn Fidiam
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
340 Montage Mountain Rd, Moosic, PA, 18507-1782
Phone Number
570-346-3686
Fax Number
570-558-6838
Provider Enumeration Date
11/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
340 Montage Mountain Rd
City
State
Zip
18507-1782
Phone Number
570-346-3686
Fax Number
570-558-6838
person
Provider Business Mailing Address Details
Address
340 Montage Mountain Rd
City
State
Zip
18507-1782
Phone Number
570-346-3686
Fax Number
570-558-6838
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA055142 (Pennsylvania)
Definition
Definition to come...
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