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Organization
TICK BORNE DISEASE GROUP
Active
Organization
TICK BORNE DISEASE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LIONETTI MD (MEDICAL DIRECTOR)
(609) 567-6044
Entity
Organization
Contact information
Practice address
210 PROSPECT AVE, PHILLIPSBURG, NJ 08865
(609) 567-6044
Mailing address
PO BOX 271, HAMMONTON, NJ 08037
(609) 567-6044
(609) 567-6140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA44448
NJ
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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