Individual
AMY KNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
806 W SHORE DR, BRIGANTINE, NJ 08203-2625
(856) 904-4050
Mailing address
806 W SHORE DR, BRIGANTINE, NJ 08203-2625
(856) 904-4050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00386900
NJ
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159350XX
PREFERRED CARE
NJ
01
—
2229169
FIRST HEALTH
NJ
01
—
437095
HIGHMARK BLUE SHIELD
NJ
01
—
5834637
CIGNA PPO
NJ
Enumeration date
10/06/2006
Last updated
11/17/2020
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