Provider Demographics
NPI:1700872843
Name:AMOIA, ANDREA CATALANO (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:CATALANO
Last Name:AMOIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:CATALANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:483 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-1204
Mailing Address - Country:US
Mailing Address - Phone:215-441-5670
Mailing Address - Fax:215-441-5661
Practice Address - Street 1:483 E COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-1204
Practice Address - Country:US
Practice Address - Phone:215-441-5670
Practice Address - Fax:215-441-5661
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 418748208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101012617Medicaid
PA101012617Medicaid
PA076139Medicare ID - Type Unspecified