Individual
DR. AMANDA MICHELLE FEIBUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(732) 616-7256
Mailing address
105 NEW ENGLAND AVE APT B7, SUMMIT, NJ 07901-1841
(732) 616-7256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA10324700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2013
Last updated
12/26/2019
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