Individual
ANTHONY DIMURA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
10 DRS JAMES PARKER BLVD STE 105, RED BANK, NJ 07701-1500
(908) 433-7263
Mailing address
10 DRS JAMES PARKER BLVD STE 105, RED BANK, NJ 07701-1500
(908) 433-7263
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00806900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0621111
—
NJ
Enumeration date
03/03/2018
Last updated
03/24/2023
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