Provider Demographics
NPI:1457900599
Name:HUGHES, AMANDA L (PA)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:L
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:524 WILLIAMSTOWN RD STE A
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1800
Mailing Address - Country:US
Mailing Address - Phone:856-728-1181
Mailing Address - Fax:856-728-1182
Practice Address - Street 1:524 WILLIAMSTOWN RD STE A
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1800
Practice Address - Country:US
Practice Address - Phone:856-728-1181
Practice Address - Fax:856-728-1182
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant