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Individual

DR. VELY ANTHONY LOUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7655
(973) 282-3285
Mailing address
PO BOX 724, MILLBURN, NJ 07041-0724
(973) 926-7655
(973) 282-3285

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08811300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0241148
NJ
Enumeration date
03/17/2009
Last updated
12/14/2010
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