Provider Demographics
NPI:1669993754
Name:AMATO, DAISY ANDREINA (DO)
Entity type:Individual
Prefix:
First Name:DAISY
Middle Name:ANDREINA
Last Name:AMATO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:90 BRICK RD FL 3
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2177
Practice Address - Country:US
Practice Address - Phone:856-355-6000
Practice Address - Fax:856-355-6731
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2022-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB10800800207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine