Rodriguez, Amanda

Rodriguez, Amanda is an individual health care provider with primary practice located at 50 Galesi Dr Ste 8 , Wayne NJ 07470-4842. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Rodriguez, Amanda can be contacted via phone (201) 673-2295.

Contact Information

Primary practice address
50 Galesi Dr Ste 8 Wayne NJ 07470-4842
Phone: (201) 673-2295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 18KT00892200 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18KT00892200 New Jersey

Profile Details

NPI number 1659919579
LBN Legal business name Rodriguez, Amanda
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2019
Last updated Nov 27th, 2023 - about 3 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 1659919579 NPPES
New Jersey Other 18KT00892200 LICENSE NUMBER

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