Individual
ANTHONY J. PICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
197 BLOOMFIELD AVE, VERONA, NJ 07044-2702
(973) 857-0330
(973) 857-0980
Mailing address
197 BLOOMFIELD AVE, VERONA, NJ 07044-2702
(973) 857-0330
(973) 857-0980
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00452200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0637751
—
NJ
Enumeration date
10/18/2017
Last updated
04/27/2023
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