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Individual

DR. SANDY AMADOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6301 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3420
(201) 662-8700
(201) 453-8075
Mailing address
6301 KENNEDY BLVD, NORTH BERGEN, NJ 07047-3246
(201) 662-8700
(201) 453-8075

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD02419
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7434405
NJ
Enumeration date
09/25/2005
Last updated
05/06/2015
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