Amato-Rotkowitz, Samantha Park

Amato-Rotkowitz, Samantha Park is an sole proprietor health care provider with primary practice located at 1331 E Wyoming Ave , Philadelphia PA 19124-3808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amato-Rotkowitz, Samantha Park can be contacted via phone (215) 537-7065.

Contact Information

Primary practice address
1331 E Wyoming Ave Philadelphia PA 19124-3808
Phone: (215) 537-7065
Fax: (215) 537-7861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00207500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MD063556L Pennsylvania

Profile Details

NPI number 1790937217
LBN Legal business name Amato-Rotkowitz, Samantha Park
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2008
Last updated May 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790937217 NPPES
New Jersey Other 25MP00207500 MEDICAL LICENSE
New Jersey Other MD063556L MEDICAL LICENSE

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