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NPI Code Detail

MEDICARE: KAREN AMELUNG PA-C

MEDICARE: KAREN AMELUNG PA-C
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
1207R00000XInternal Medicine Physician25MP00010100NJ
2363AM0700XMedical Physician Assistant25MP00010100NJ

General Provider Information

NPI Number : 1558388215
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN AMELUNG PA-C
Provider Business Mailing Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number : 609-272-8526
Provider Business Practice Location Address
First Line : 258 N NEW RD
Second Line :
City : PLEASANTVILLE
State : NJ
Zip : 08232-2170
Country : US
Telephone Number : 609-646-4064
Fax Number : 609-272-8526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 04/04/2013

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Directions to “ KAREN AMELUNG PA-C” Practice Location

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