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NPI Code Detail

MEDICARE: DR. JONATHAN ROBERT AMY MD

MEDICARE:  DR. JONATHAN ROBERT AMY  MD
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
12084N0400XNeurology Physician01094952AIN
22084N0400XNeurology Physician0101036899VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245237718
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN ROBERT AMY MD
Provider Business Mailing Address
First Line : 8650 SUDLEY RD
Second Line : SUITE 309
City : MANASSAS
State : VA
Zip : 20110-4419
Country : US
Telephone Number : 703-366-2799
Fax Number :
Provider Business Practice Location Address
First Line : 8650 SUDLEY RD
Second Line : SUITE 309
City : MANASSAS
State : VA
Zip : 20110-4419
Country : US
Telephone Number : 703-366-2799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 03/10/2025

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Directions to “ DR. JONATHAN ROBERT AMY MD” Practice Location

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