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Individual

AMY E PEARDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
516 BANGS AVE, ASBURY PARK, NJ 07712-6902
(732) 774-0262
(732) 775-8963
Mailing address
516 BANGS AVE, ASBURY PARK, NJ 07712-6902
(732) 774-0262
(732) 775-8963

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB07560400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0093360
NJ
Enumeration date
04/11/2006
Last updated
06/09/2014
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