Individual
AMANDA ELIZABETH MARSICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 597-6011
Mailing address
1533 WELLINGTON AVE, TOMS RIVER, NJ 08757-1603
(732) 927-0936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00803900
NJ
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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