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1073194171
AMANDA ANN SRINIVASAN
NORTHFIELD, NJ
NPI
1073194171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NJ 25MP00615000)
Enumeration Date
2021-04-20
Last Update Date
2021-05-05
Business Address
AMANDA ANN SRINIVASAN PA-C
510 JACKSON AVE
NORTHFIELD, NJ 08225-1631
Phone number: 609-383-0200
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Mailing Address
AMANDA ANN SRINIVASAN PA-C
104 24TH ST S
BRIGANTINE, NJ 08203-1834
Phone number: 570-401-8016
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