Individual
AJOA O AMANKWAAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
728 MARNE HWY STE 100B, MOORESTOWN, NJ 08057-3128
(856) 235-6600
(856) 235-6610
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08991000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279129
—
NJ
Enumeration date
10/07/2010
Last updated
10/19/2020
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