Doctor Name: | DR. AMARI WHITE |
NPI Number: | 1205196359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 25MD00328100 |
Business Practice Address: | 722 Mantua Pike Suite 8 Woodbury Heights, NJ - 080971141 |
Business Phone Number: | 8563841333 |
Business Fax Number: | 8563841297 |
Mailing Address: | 722 Mantua Pike, Suite 8 WOODBURY HEIGHTS |
State: | NJ |
Postal Code: | 080971141 |
Phone Number: | 8563841333 |
Fax Number: | 8563841297 |
NPI Enumeration Date: | 05/23/2012 |
NPI Last Update Date: | 10/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00328100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |