Provider Demographics
NPI:1093703134
Name:BITTNER, AMANDA JOYCE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:JOYCE
Last Name:BITTNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 EDEN RD STE 301
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4725
Mailing Address - Country:US
Mailing Address - Phone:717-569-5618
Mailing Address - Fax:717-517-9108
Practice Address - Street 1:730 EDEN RD STE 301
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4725
Practice Address - Country:US
Practice Address - Phone:717-569-5618
Practice Address - Fax:717-517-9108
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073671L174400000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No174400000XOther Service ProvidersSpecialist