Individual
AMANDA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
123 EGG HARBOR RD STE 604, SEWELL, NJ 08080-9408
(856) 232-6471
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00788300
NJ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/30/2019
Last updated
11/28/2023
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