Individual
MICHELLE AMENDOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9438
(609) 652-1000
Mailing address
235 CHURCHILL DR, EGG HBR TWP, NJ 08234-8003
(609) 335-9585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01064900
NJ
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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