Provider Demographics
NPI:1982043477
Name:SCOTT, AMANDA MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MARY
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4247 ROUTE 9 N BLDG 1
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8307
Mailing Address - Country:US
Mailing Address - Phone:732-780-7650
Mailing Address - Fax:732-780-7131
Practice Address - Street 1:4247 ROUTE 9 N BLDG 1
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8307
Practice Address - Country:US
Practice Address - Phone:732-780-7650
Practice Address - Fax:732-780-7131
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA11536200207RR0500X
MA266377207RR0500X
MEMD21915207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology