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-- ERICA AMIANDA -- PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1689974289
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
20 PROSPECT AVE SUITE 703, HACKENSACK, NJ, 076011997
Phone
(551) 996-4424

Specialties & Taxonomies

Physician Assistant License: NY #014376
Physician Assistant Primary License: NJ #25MP00283800

All Addresses

LOCATION

20 PROSPECT AVE SUITE 703

HACKENSACK, NJ, 076011997

(551) 996-4424

MAILING

PO BOX 1517

MONTCLAIR, NJ, 070421517

(551) 996-4424