Individual
MR. DAVID B. ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PT
Contact information
Practice address
151 FRIES MILL RD, BLDG. 600, SUITE 1, TURNERSVILLE, NJ 08012-2016
(856) 374-3707
Mailing address
1712 CROWFOOT LN, WILLIAMSTOWN, NJ 08094-8751
(856) 881-5131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00465400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053276100
AMERIHEALTH
NJ
01
—
2264844
UNITED HEALTHCARE
NJ
01
—
650012431
RAILROAD MEDICARE
NJ
Enumeration date
10/11/2006
Last updated
10/30/2009
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