Individual
DR. AMY GRACE GEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
212 STATE RT 94, SUITE 1C, VERNON, NJ 07462-3328
(973) 823-8800
Mailing address
PO BOX 95000 LB# 7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08070700
NJ
Other
Enumeration date
06/10/2006
Last updated
02/02/2018
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