NPI 1003215336

Amanda Rose Peraino, MAEDM

Practitioner Specialist Glen Rock, NJ

Practice location

Address: 17 Stonefield Road, Glen Rock, NJ 07452
Phone: (551) 427-0867

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 770434131 (NY)

Other Specialist providers in New Jersey →

Specialist

Other Service Providers Taxonomy 174400000X Licence 330594091 (NY)

Registry record

NPI: 1003215336
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2014
Record last updated: 22 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.