Pittillo, Amanda Lauren

Pittillo, Amanda Lauren is an individual health care provider with primary practice located at 9515 Deereco Rd Ste 208 , Timonium MD 21093-2153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Pittillo, Amanda Lauren can be contacted via phone (410) 449-2060.

Contact Information

Primary practice address
9515 Deereco Rd Ste 208 Timonium MD 21093-2153
Phone: (410) 449-2060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X C07081 Maryland

Profile Details

NPI number 1821555780
LBN Legal business name Pittillo, Amanda Lauren
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2019
Last updated Feb 27th, 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 1821555780 NPPES
Maryland Other C07081 PA LICENSE NUMBER

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