Provider Demographics
NPI:1568601490
Name:AMOR, SUZY G (PA-C)
Entity Type:Individual
Prefix:
First Name:SUZY
Middle Name:G
Last Name:AMOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:37 EDGERTON DR
Mailing Address - Street 2:
Mailing Address - City:NORTH FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02556-2821
Mailing Address - Country:US
Mailing Address - Phone:508-563-2550
Mailing Address - Fax:508-563-2570
Practice Address - Street 1:37 EDGERTON DR
Practice Address - Street 2:
Practice Address - City:NORTH FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02556-2821
Practice Address - Country:US
Practice Address - Phone:508-563-2550
Practice Address - Fax:508-563-2570
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA3732363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical