NPI 1851300636 · live from the CMS NPI Registry
Samuel Amaro, PA
Physician Assistant, Medical in Martinsburg, WV. National Provider Identifier 1851300636, active.
NPI record
| NPI | 1851300636 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 510 Butler Ave, Martinsburg, WV 25401 |
| Practice phone | 304-263-0811 |
| Mailing address | 1056 Horizon Way, Martinsburg, WV 25401 |
| Enumerated | August 7, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 373 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.