Individual
DR. THOMAS T AMATRUDA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 OSBORNE RD NE, SUITE 220, FRIDLEY, MN 55432-2866
(763) 786-1620
(763) 780-3099
Mailing address
480 OSBORNE RD NE, SUITE 220, FRIDLEY, MN 55432-2866
(763) 786-1620
(763) 780-3099
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35894
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01009364
PREFERRED ONE
MN
01
—
102713
UCARE
MN
01
—
3607502
MEDICA
MN
01
—
410729979
COMMERCIAL
MN
01
—
46Q06AM
BLUE SHIELD
MN
05
—
661585600
—
MN
01
—
HP22180
HEALTH PARTNERS
MN
Enumeration date
08/09/2006
Last updated
06/05/2015
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