Organization
DEEPAK AMIN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK AMIN M.D. (OWNER)
(201) 863-1797
Entity
Organization
Contact information
Practice address
4522 KENNEDY BLVD, UNION CITY, NJ 07087-8014
(201) 863-1797
(201) 863-6117
Mailing address
4522 KENNEDY BLVD, UNION CITY, NJ 07087-8014
(201) 863-1797
(201) 863-6117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA08374000
NJ
207Q00000X
Family Medicine Physician
242719
NY
207Q00000X
Family Medicine Physician
25MA08048500
NJ
207R00000X
Internal Medicine Physician
189494
NY
207R00000X
Internal Medicine Physician
Primary
25MA06036000
NJ
Other
Enumeration date
03/19/2009
Last updated
12/31/2012
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