Provider Demographics
NPI:1942578414
Name:SENICK, TAMA (PA-C)
Entity Type:Individual
Prefix:
First Name:TAMA
Middle Name:
Last Name:SENICK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3131 COLLEGE HEIGHTS BLVD STE 1200
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4858
Mailing Address - Country:US
Mailing Address - Phone:106-439-8551
Mailing Address - Fax:610-439-1435
Practice Address - Street 1:3131 COLLEGE HEIGHTS BLVD STE 1200
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4858
Practice Address - Country:US
Practice Address - Phone:106-439-8551
Practice Address - Fax:610-439-1435
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOA002751363AM0700X
PAMA055184363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical