Basic Information
Provider Information
NPI: 1669696928
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLINT
FirstName: AMANDA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4401 PENN AVE
Address2: 8TH FLOOR FACULTY PAVILION
City: PITTSBURGH
State: PA
PostalCode: 152241334
CountryCode: US
TelephoneNumber: 4126925170
FaxNumber: 4126925834
Practice Location
Address1: 4401 PENN AVE
Address2: 8TH FLOOR FACULTY PAVILION
City: PITTSBURGH
State: PA
PostalCode: 152241334
CountryCode: US
TelephoneNumber: 4126927829
FaxNumber: 4126925834
Other Information
ProviderEnumerationDate: 04/11/2007
LastUpdateDate: 04/19/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0205XMD437422PAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology

No ID Information.


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