Provider Demographics
NPI:1568482560
Name:SCAFFE, AMANDA (MGC)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:SCAFFE
Suffix:
Gender:F
Credentials:MGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8526 DRUMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5906
Mailing Address - Country:US
Mailing Address - Phone:443-604-5164
Mailing Address - Fax:
Practice Address - Street 1:22 SOUTH GREENE ST.
Practice Address - Street 2:CENTER FOR ADVANCED FETAL CARE, U O
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-3339
Practice Address - Fax:410-328-0279
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD170300000XMedicare UPIN