Individual
BITA AMERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GRIDER STREET, BUFFALO, NY 14215
(111) 111-1111
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(739) 267-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA10103700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2011
Last updated
06/15/2020
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