Provider Demographics
NPI:1912176314
Name:JOSHI, AMITA (PT)
Entity Type:Individual
Prefix:MRS
First Name:AMITA
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CENTENNIAL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3900
Mailing Address - Country:US
Mailing Address - Phone:732-885-5400
Mailing Address - Fax:732-885-1400
Practice Address - Street 1:120 CENTENNIAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3900
Practice Address - Country:US
Practice Address - Phone:732-885-5400
Practice Address - Fax:732-885-1400
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01083500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist