Individual
MR. ANTONIO D'AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
349 PASSAIC AVE, NUTLEY, NJ 07110-2738
(973) 667-8889
Mailing address
1 JAMES CT, ENGLEWOOD, NJ 07631-2435
(201) 681-9482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00891900
NJ
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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