Individual
DR. SAMIRLAL AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9245 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4369
(201) 863-6844
(201) 854-0050
Mailing address
9245 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5322
(201) 863-6844
(201) 854-0050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA074861
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8960607
—
NJ
Enumeration date
10/28/2005
Last updated
05/27/2008
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