Healthcare Provider Details

I. General information

NPI: 1164127825
Provider Name (Legal Business Name): AMY AMUQUANDOH MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

874 PURCHASE ST
NEW BEDFORD MA
02740-6232
US

IV. Provider business mailing address

874 PURCHASE ST
NEW BEDFORD MA
02740-6232
US

V. Phone/Fax

Practice location:
  • Phone: 508-992-6553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number1024867
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: