Provider Demographics
NPI:1225328537
Name:POMPY, AMRITA
Entity Type:Individual
Prefix:
First Name:AMRITA
Middle Name:
Last Name:POMPY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 S ORANGE AVE # F603
Mailing Address - Street 2:UMDNJ-NEW JERSEY MEDICAL SCHOOL
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-1709
Mailing Address - Country:US
Mailing Address - Phone:609-649-3960
Mailing Address - Fax:
Practice Address - Street 1:185 S ORANGE AVE # F603
Practice Address - Street 2:UMDNJ-NEW JERSEY MEDICAL SCHOOL
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07101-1709
Practice Address - Country:US
Practice Address - Phone:609-649-3960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ390200000XOtherSTUDENT IN AN ORGANIZED HEALTHCARE EDUCATION/TRAINING PROGRAM 390200000X