MEDICARE: AMANDA L SIGAFOOS

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
1	174400000X	Specialist		NJ

General Provider Information

NPI Number	:	1376365759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA L SIGAFOOS

Provider Business Mailing Address
First Line	:	32 IVINS DR
Second Line	:
City	:	NEW EGYPT
State	:	NJ
Zip	:	08533-2807
Country	:	US
Telephone Number	:	732-865-0105
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 CENTRE DR STE 102
Second Line	:
City	:	MONROE TWP
State	:	NJ
Zip	:	08831-1501
Country	:	US
Telephone Number	:	609-655-3551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	10/28/2024

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Directions to “ AMANDA L SIGAFOOS ” Practice Location

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