Individual
AMANDA BASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
19 DAVIS AVE, NEPTUNE, NJ 07753-4488
(732) 897-3530
(732) 776-4109
Mailing address
26 FRANDSEN AVE, SOUTH RIVER, NJ 08882-2425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01339800
NJ
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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