Individual
AMY CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, MEB 104, NEW BRUNSWICK, NJ 08903
(732) 235-8717
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
206943
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01780592
—
NY
Enumeration date
08/15/2005
Last updated
01/22/2008
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