Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD443608 | PA |
N | 207RG0300X | Geriatric Medicine | 2006010630 | MO |
NPI | 1013134659 |
---|---|
Provider Name | Dr. Anastassia Amaro |
First Address | Philadelphia, PA 19104-5134 |
Second Address | Philadelphia, PA 19104-5134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 25/03/2019 |