Individual
AMANDA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7044
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA076897
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8776601
—
NJ
Enumeration date
12/13/2006
Last updated
02/04/2008
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