Individual
AMANDA ROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BOWMAN DR FL 2, VOORHEES, NJ 08043-9612
(856) 988-6260
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18949800
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR18949800
NJ
Other
Enumeration date
09/06/2023
Last updated
08/22/2024
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