Individual
AMY NICOLE ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(800) 843-2384
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00800300
NJ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/17/2023
Last updated
11/27/2024
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