Amatruda, Jonathan

Amatruda, Jonathan is an sole proprietor health care provider with primary practice located at 1600 Congress St Ste B , Portland ME 04102-2148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Amatruda, Jonathan can be contacted via phone (207) 774-5222.

Contact Information

Primary practice address
1600 Congress St Ste B Portland ME 04102-2148
Phone: (207) 774-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A155033 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A155033 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD28202 Maine

Profile Details

NPI number 1912387713
LBN Legal business name Amatruda, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2015
Last updated Jul 9th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912387713 NPPES
Massachusetts Other 264157 LICENSE #

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