Individual
DR. NICHOLAS ANTHONY CANNAROZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
741 NORTHFIELD AVE, SUITE 210, WEST ORANGE, NJ 07052-1174
(973) 630-8950
(973) 669-9749
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
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
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