Basic Information
Provider Information
NPI: 1699754895
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRAN
FirstName: AMY
MiddleName: LAWSER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 825 OLD LANCASTER RD
Address2: SUITE 320
City: BRYN MAWR
State: PA
PostalCode: 190103231
CountryCode: US
TelephoneNumber: 6105273800
FaxNumber: 6105270334
Practice Location
Address1: 825 OLD LANCASTER RD
Address2: SUITE 320
City: BRYN MAWR
State: PA
PostalCode: 190103231
CountryCode: US
TelephoneNumber: 6105273800
FaxNumber: 6105270334
Other Information
ProviderEnumerationDate: 01/16/2006
LastUpdateDate: 04/05/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202XMD417565PAY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
207R00000XMD417565PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003XMD417565PAN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

ID Information
IDTypeStateIssuerDescription
001873730000705PA MEDICAID
23235940101PAMAIN LINE HEALTHCAREOTHER
00187373005PA MEDICAID


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