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Individual

DANIEL DEAN AMITIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1945 ROUTE 33, ACKERMAN 4TH FLOOR, NEPTUNE, NJ 07753
(732) 775-5500
Mailing address
331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701
(732) 807-0877
(201) 751-1680

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
200500302
NC
207L00000X
Anesthesiology Physician
Primary
25MA08879800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139W5
BCBS,NC
NC
05
5901327
NC
Enumeration date
12/13/2005
Last updated
01/07/2025
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