Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD073671L | PA |
NPI | 1093703134 |
---|---|
Provider Name | Dr. Amanda Joyce Bittner |
First Address | Lancaster, PA 17601-4725 |
Second Address | Lancaster, PA 17601-4725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 14/12/2012 |