Individual
MR. ANTHONY MARTIN JADICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1051 W SHERMAN AVE, BLDG.2 SUITE A, VINELAND, NJ 08360-6931
(856) 691-0200
Mailing address
1448 JESSE BRIDGE RD, ELMER, NJ 08318-4562
(856) 692-2609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR05322900
NJ
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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