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Provider Information for 1205196359



DR. AMARI M. WHITE D.P.M.

Gender: MALE

Individual NPI: 1205196359

Calendar Last Updated: 2018-03-17

Details

Name Value
NPI 1205196359
Enumeration Date 2012-05-23
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 8008 ROUTE 130 STE 310
DELRAN, NJ 08075-1869
United States

Phone: 856-393-8771 | Fax:
View Map External Link
Primary Practice Address 8008 ROUTE 130 STE 310
DELRAN, NJ 08075-1869
United States

Phone: 856-393-8771 | Fax:
View Map External Link
Secondary Practice Address 722 MANTUA PIKE SUITE 8
WOODBURY HEIGHTS, NJ 08097-1141
United States

Phone: 856-384-1333 | Fax: 856-384-1297
View Map External Link

128 STATE HWY 70 SUITE 14
MEDFORD, NJ 08055
United States

Phone: 609-714-3434 | Fax:
View Map External Link

Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 213ES0103X - Podiatrist Foot & Ankle Surgery NJ 25MD00328100
Other Identifiers
Issuer State Number