Individual
GINA A. AMALFITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 21901 EUREKA ROAD, TAYLOR, MI 48180
(734) 287-9102
Mailing address
HENRY FORD HEALTH SYSTEM, 21901 EUREKA ROAD, TAYLOR, MI 48180
(734) 287-9102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301051618
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA051618
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
07/08/2007
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