Individual
AMANDA BASILICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE CITY, NJ 07753-4859
(732) 775-5500
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00752600
NJ
Other
Enumeration date
11/10/2022
Last updated
10/09/2025
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