Individual
DR. MARIETTE YVONNE AMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2 UNIVERSITY PLZ, SUITE 100 #29, HACKENSACK, NJ 07601-6208
(908) 578-2144
(732) 379-4538
Mailing address
2 UNIVERSITY PLAZA, SUITE 100 #29, HACKENSACK, NJ 07601-1914
(908) 578-2144
(732) 379-4538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
265667
NY
207R00000X
Internal Medicine Physician
Primary
302868
NJ
208M00000X
Hospitalist Physician
25MA08528000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08528000
STATE LICENSE
NJ
Enumeration date
07/01/2008
Last updated
12/11/2019
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