Individual
AMY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
37 N FULLERTON AVE, MONTCLAIR, NJ 07042-3426
(973) 509-1818
(973) 509-0532
Mailing address
2778 COUNTY ROAD 33, OZARK, AL 36360-8328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB11220900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2015
Last updated
09/17/2021
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