Doctor Name: | AMANDA L JOY |
NPI Number: | 1710913397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | C0002773 |
Business Practice Address: | 103 Bald Eagle Way Belcamp, MD - 210171712 |
Business Phone Number: | 4105757180 |
Business Fax Number: | |
Mailing Address: | 103 Bald Eagle Way, BELCAMP |
State: | MD |
Postal Code: | 210171712 |
Phone Number: | 4105757180 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 11/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | C0002773 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |