IndividualActive
Amanda Pebenito, MD
NPI 1053809582 · Gastroenterology Physician · Philadelphia, PA
Provider details
- NPI number
- 1053809582
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD479296 (PA)
Practice location
3737 Market St Fl 11
Philadelphia, PA 19104-5545
Phone: (215) 662-8900
Fax: (215) 662-0950
Mailing address
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.