Individual
AMANDA RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 BERGEN ST STE 4500, NEWARK, NJ 07103-2425
(973) 972-2500
(973) 972-2510
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
(303) 809-7361
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA12143100
NJ
207RG0100X
Gastroenterology Physician
308437-01
NY
Other
Enumeration date
04/03/2018
Last updated
09/09/2024
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