Individual
DR. JENNIFER AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8993
Mailing address
1 ROBERT WOOD JOHNSON PL, RWJMS, MEB 262, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09159900
NJ
207Q00000X
Family Medicine Physician
266733
NY
207Q00000X
Family Medicine Physician
P9505
TX
Other
Enumeration date
01/24/2012
Last updated
07/13/2015
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