person
Amanda Lynne Hatalski, PA-C
Surgical Physician Assistant in Philadelphia, Pennsylvania
NPI 1780985630

Amanda Lynne Hatalski is a Surgical Physician Assistant based in Philadelphia, PA and is specialized in Surgical. Amanda Lynne Hatalski practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Amanda Lynne Hatalski is 1780985630 and holds a License No. MA053418 (Pennsylvania).

The current practice location address for Amanda Lynne Hatalski is 3400 Spruce Street, Philadelphia, PA and can be reached out via phone at 215-662-2626 and via fax at 215-349-8195.

Location: 3400 Spruce Street, Philadelphia, PA, 19104-4206
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Provider Profile Details
NPI Number
1780985630
Provider Name
Amanda Lynne Hatalski
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3400 Spruce Street, Philadelphia, PA, 19104-4206
Phone Number
215-662-2626
Fax Number
215-349-8195
Provider Enumeration Date
11/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23-2359401 01 PA MAIN LINE HEALTHCARE TAX ID
institution
Provider Business Practice Location Address Details
Address
3400 Spruce Street
City
State
Zip
19104-4206
Phone Number
215-662-2626
Fax Number
215-349-8195
person
Provider Business Mailing Address Details
Address
3400 Spruce Street
City
State
Zip
19104-4206
Phone Number
215-662-2626
Fax Number
215-349-8195
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA053418 (Pennsylvania)
Definition
Definition to come...
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