Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | OT013680 | PA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MB09935000 | NJ |
NPI | 1003137837 |
---|---|
Provider Name | Dr. Amie Kawashima |
First Address | New Brunswick, NJ 08901-1766 |
Second Address | New Brunswick, NJ 08901-1766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2010 |
Last Update Date | 28/10/2016 |