Individual
AMANDA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
728 MARNE HWY STE B, MOORESTOWN, NJ 08057-3128
(856) 235-6600
(856) 235-6610
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10068700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0572021
—
NJ
Enumeration date
04/10/2014
Last updated
10/20/2020
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