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Individual

MR. MICHAEL V. AMODEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
NPF10607
CA
2083X0100X
Occupational Medicine Physician
Primary
RN397773
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
069237
SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
Enumeration date
04/10/2007
Last updated
07/08/2007
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