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Individual

DR. ERNESTO AYQUE AMARANTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
205 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-1349
(973) 966-1130
(973) 543-7664
Mailing address
205 RIDGEDALE AVE, FLORHAM PARK, NJ 07932-1349
(973) 966-1130
(973) 543-7664

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA02783500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6323201
NJ
Enumeration date
08/27/2006
Last updated
07/08/2007
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