Individual
DR. CHRISTINE J AMIS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
923 ROUTE 6A, SUNFLOWER MKT PLC UNIT N, YARMOUTH PORT, MA 02675-2159
(508) 360-5195
(508) 544-4266
Mailing address
923 ROUTE 6A, SUNFLOWER MKT PLC UNIT N, YARMOUTH PORT, MA 02675-2159
(508) 360-5195
(508) 544-4266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
219518
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004108074
—
MA
01
—
013545330A
PTAN ID
MA
01
—
110078110A
MMIS
MA
01
—
2023558
CIGNA
MA
01
—
2147092
MASS HEALTH
MA
01
—
219518
MD LICENSE IN MA
MA
01
—
494241
TUFTS
MA
01
—
J29522
BC/BS
MA
Enumeration date
05/31/2006
Last updated
03/07/2023
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