Provider Demographics
NPI:1417229683
Name:DUNEC, AMANDA AMY (MD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:AMY
Last Name:DUNEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 MORRIS TPKE STE 2H
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2608
Mailing Address - Country:US
Mailing Address - Phone:973-232-6245
Mailing Address - Fax:
Practice Address - Street 1:636 MORRIS TPKE STE 2H
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078
Practice Address - Country:US
Practice Address - Phone:973-232-6245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278563207N00000X
NJ25MA09642300207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology