# ALFRED B. AMENDOLARA MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952667388
- **Authorized official:** DR. ALFRED B. AMENDOLARA MD (PRESIDENT)
- **Authorized official phone:** (609) 397-9313

## Contact information

- **Practice address:** 2380 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648
- **Practice address phone:** (609) 896-9500
- **Mailing address:** 4 BROADWAY CT, LAMBERTVILLE, NJ 08530-3430
- **Mailing address phone:** (609) 397-9313
- **Mailing address fax:** (609) 397-9364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25MA0199800 | NJ | Yes |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 04/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0241300NJ | — | NJ |