Individual
DR. ANTHONY D DIBONA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1605 E EVESHAM RD STE 100A, VOORHEES, NJ 08043-1437
(856) 841-7100
(856) 424-2629
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB04122000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922807
—
NJ
Enumeration date
03/27/2006
Last updated
11/15/2024
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