MEDICARE: MRS. AMANDA CHOW

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	253Z00000X	In Home Supportive Care Agency	HP0237700	NJ
2	374U00000X	Home Health Aide	HP0237700	NJ

General Provider Information

NPI Number	:	1700330180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA CHOW

Provider Business Mailing Address
First Line	:	1570 US HIGHWAY 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	732-325-3149
Fax Number	:

Provider Business Practice Location Address
First Line	:	1570 US HIGHWAY 130
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-3011
Country	:	US
Telephone Number	:	732-325-3149
Fax Number	:

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

Provider Enumeration Date	:	08/15/2016
Last Update Date	:	07/28/2022

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Directions to “ MRS. AMANDA CHOW ” Practice Location

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