Individual
DR. ANTHONY WILLIAM VILLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 MANTUA AVE, PAULSBORO, NJ 08066
(856) 423-5466
Mailing address
560 MANTUA AVE, PAULSBORO, NJ 08066
(856) 423-5466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA57364
NJ
207Q00000X
Family Medicine Physician
MD039413L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1638203
—
NJ
Enumeration date
06/27/2006
Last updated
09/30/2011
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