Individual
ANITA LUCILLE COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4810 BELMAR BLVD, NEPTUNE, NJ 07753-6952
(732) 938-6090
Mailing address
56 BROOKWOOD DR, FREEHOLD, NJ 07728-1375
(732) 740-6505
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
021635
NY
Other
Enumeration date
11/15/2017
Last updated
12/08/2023
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