Individual
AMY G ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
452 OLD HOOK RD, 2ND FLOOR, EMERSON, NJ 07630-1381
(201) 666-3900
(201) 261-0505
Mailing address
PO BOX 419430, BOSTON, MA 02241-9430
(201) 666-3900
(201) 261-0505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08868700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08868700
STATE LICENSE NUMBER
NJ
Enumeration date
12/29/2010
Last updated
04/21/2017
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