Individual
DR. INDIRA AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, MEB 308, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7883
(732) 235-6609
Mailing address
1 ROBERT WOOD JOHNSON PL, MEB 308, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7883
(732) 235-6609
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07729400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059552
—
NJ
01
—
MA07729400
STATE LICENSE
NJ
Enumeration date
10/03/2006
Last updated
03/24/2014
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