Marino, Amanda Sue

Marino, Amanda Sue is an individual health care provider with primary practice located at 700 Coventry Dr , Phillipsburg NJ 08865-1972. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Marino, Amanda Sue can be contacted via phone (908) 454-4666.

Contact Information

Primary practice address
700 Coventry Dr Phillipsburg NJ 08865-1972
Phone: (908) 454-4666
Fax: (908) 454-2332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X SP012936 Pennsylvania

Profile Details

NPI number 1053700120
LBN Legal business name Marino, Amanda Sue
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2015
Last updated Sep 20th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053700120 NPPES
New Jersey MEDICAID 0495492

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