Individual
AMY TYBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
186 ROCHELLE AVE FL 2, ROCHELLE PARK, NJ 07662-4122
(551) 996-1817
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
10223100
NJ
207RG0100X
Gastroenterology Physician
Primary
25MA10615300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2008
Last updated
11/07/2023
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