Individual
ELIZABETH ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CENTER GROVE RD STE 1, RANDOLPH, NJ 07869-4453
(973) 366-1016
Mailing address
121 CENTER GROVE RD STE 1, RANDOLPH, NJ 07869-4453
(973) 366-1016
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00333100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2014
Last updated
08/31/2020
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