Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MA09491200 | NJ |
NPI | 1013337443 |
---|---|
Provider Name | Sejal Amin |
First Address | Plainsboro, NJ 08536-1915 |
Second Address | Plainsboro, NJ 08536-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2014 |
Last Update Date | 24/06/2014 |