Individual
AMY FAITH BRETAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 RARITAN COMMONS RTE 31 NORTH, SUITE 105, FLEMINGTON, NJ 08822-1154
(908) 782-5100
(908) 782-0290
Mailing address
200 RARITAN COMMONS RTE 31 NORTH, SUITE 105, FLEMINGTON, NJ 08822-1154
(908) 782-5100
(908) 782-0290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07861500
NJ
207QA0505X
Adult Medicine Physician
25MA07861500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07861500
MEDICAL LICENSE
NJ
Enumeration date
07/07/2006
Last updated
08/21/2020
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