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Individual

DR. NICHOLAS ANTHONY CANNAROZZI

Active
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Individual

DR. NICHOLAS ANTHONY CANNAROZZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA02173000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1987607
NJ
01
25MA02173000
NJ STATE MEDICAL LICENSE
NJ
01
AC2620448
FEDERAL NARCOTIC LICENSE
NJ
01
D02655800
NJ STATE NARCOTIC NUMBER
NJ
Enumeration date
10/04/2006
Last updated
02/10/2016
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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