Individual
DR. JONATHAN ROBERT AMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8650 SUDLEY RD, SUITE 309, MANASSAS, VA 20110-4419
(703) 366-2799
Mailing address
8650 SUDLEY RD, SUITE 309, MANASSAS, VA 20110-4419
(703) 366-2799
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101036899
VA
2084N0400X
Neurology Physician
01094952A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300097315
—
IN
Enumeration date
06/30/2005
Last updated
03/10/2025
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