Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | MD198413 | OR |
NPI | 1023435450 |
---|---|
Provider Name | Samridhi Amba |
First Address | Trenton, NJ 08629 |
Second Address | Trenton, NJ 08629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 02/10/2020 |