Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MB09164500 | NJ |
N | 111NI0900X | Internist | 25MB09164500 | NJ |
N | 207RI0200X | Infectious Disease | 25MB09164500 | NJ |
NPI | 1023249331 |
---|---|
Provider Name | Dr. Amanda A Valvano |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2009 |
Last Update Date | 08/04/2019 |