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Individual

ANTHONY PATRICK DE MARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1057 COMMERCE AVE, UNION, NJ 07083-5025
(866) 467-1770
(908) 688-2377
Mailing address
1057 COMMERCE AVE, UNION, NJ 07083-5025
(866) 467-1770
(908) 688-2377

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810004484
VA
103G00000X
Clinical Neuropsychologist
Primary
35SI00562000
NJ
103G00000X
Clinical Neuropsychologist
PS018103
PA

Other

Enumeration date
08/26/2010
Last updated
02/07/2019
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