| Doctor Name: | AMY E FARMER |
| NPI Number: | 1124007687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 25MP00128800 |
| Business Practice Address: | 2315 Rt 34 So Ste D Manasquan, NJ - 08736 |
| Business Phone Number: | 7329740404 |
| Business Fax Number: | 7324494271 |
| Mailing Address: | 2315 Rt 34 So, Ste D MANASQUAN |
| State: | NJ |
| Postal Code: | 08736 |
| Phone Number: | 7329740404 |
| Fax Number: | 7324494271 |
| NPI Enumeration Date: | 01/12/2006 |
| NPI Last Update Date: | 07/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 25MP00128800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |