| Doctor Name: | AMY SMITH |
| NPI Number: | 1457655359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | C5-0000733 |
| Business Practice Address: | 1648 Huntingdon Pike Meadowbrook, PA - 190468001 |
| Business Phone Number: | 2159382749 |
| Business Fax Number: | 2159383829 |
| Mailing Address: | Po Box 8500-4081, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191784081 |
| Phone Number: | 2158561010 |
| Fax Number: | 2158561141 |
| NPI Enumeration Date: | 01/06/2011 |
| NPI Last Update Date: | 04/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C5-0000733 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |