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Individual

MRS. AMANDA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1600 HADDON AVE FL 6, CAMDEN, NJ 08103-3101
(856) 757-3500
(856) 365-4088
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
010605
NY
363AM0700X
Medical Physician Assistant
Primary
25MP00395700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10605
NYS LICENSE NUMBER
NY
01
5347124
REGISTRATION CERTIFICATE
NY
Enumeration date
01/03/2007
Last updated
12/15/2020
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