Individual
ANURADHA AMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 S BROAD ST, 2ND FLOOR, PHILADELPHIA, PA 19148-3542
(215) 952-9434
Mailing address
76 GRAMERCY DR, PISCATAWAY, NJ 08854-5246
(732) 979-9639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD438362
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219819
—
NJ
05
—
1024108240001
—
PA
Enumeration date
05/14/2009
Last updated
02/02/2010
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