Individual
AMANDA DISOMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
300 COLES ST APT 1008, JERSEY CITY, NJ 07310-1048
(609) 848-4056
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR16955700
NJ
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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