Organization
ALFRED B. AMENDOLARA MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED B. AMENDOLARA MD (PRESIDENT)
(609) 397-9313
Entity
Organization
Contact information
Practice address
2380 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648
(609) 896-9500
Mailing address
4 BROADWAY CT, LAMBERTVILLE, NJ 08530-3430
(609) 397-9313
(609) 397-9364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA0199800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241300NJ
—
NJ
Enumeration date
04/10/2012
Last updated
04/10/2012
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