Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK STEVEN AMONETTE, M.D.
ActiveDR. MARK STEVEN AMONETTE, M.D. is a Adolescent Medicine healthcare provider located in STATE FARM, Virginia. NPI 1841405370 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · STATE FARM, VA
Registration Details
- NPI Number
- 1841405370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2007 (19.246078399501 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0101041647 (VA)
Practice Information
- Address
-
3600 WOODS WAYSTATE FARM, VA, 231600002Browse VA providers · Browse ZIP 23160
- Phone
- 8045984251
- Fax
- 8044033495
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.