Individual
DR. AMANDA R ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544
Mailing address
20 PLEASANT VALLEY RD, MORGANVILLE, NJ 07751-1191
(917) 238-7226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08230600
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA08230600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192848
—
NJ
01
—
114927
PTAN
NJ
Enumeration date
06/21/2007
Last updated
05/07/2013
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