Individual
AMANDA MARY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 DAYTON ST, RIDGEWOOD, NJ 07450-4407
(201) 612-0020
Mailing address
225 DAYTON ST, RIDGEWOOD, NJ 07450-4407
(201) 612-0020
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA11045800
NJ
Other
Enumeration date
04/16/2016
Last updated
08/07/2023
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