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NPI Code Detail

MEDICARE: AMY BACKAL

MEDICARE: AMY BACKAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramMTL500003074DC

General Provider Information

NPI Number : 1508707035
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BACKAL
Provider Business Mailing Address
First Line : 1025 DELL DR
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-2910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 888-884-2327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 06/08/2026

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Directions to “ AMY BACKAL ” Practice Location

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