Amadi, Mariette Yvonne
Amadi, Mariette Yvonne is an individual health care provider with primary practice located at 2 University Plz Suite 100 #29, Hackensack NJ 07601-6208. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Amadi, Mariette Yvonne can be contacted via phone (908) 578-2144.Contact Information
Primary practice address
2 University Plz Suite 100 #29
Hackensack NJ 07601-6208
Phone: (908) 578-2144
Fax: (732) 379-4538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 265667 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25MA08528000 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 302868 | New Jersey |
Profile Details
| NPI number | 1093977019 |
|---|---|
| LBN Legal business name | Amadi, Mariette Yvonne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Dec 11th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093977019 | NPPES |
| New Jersey | Other | 25MA08528000 | STATE LICENSE |
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