Individual
MICHAEL ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
198 MAIN STREET, LITTLE FERRY, NJ 07643
(201) 440-8884
Mailing address
198 MAIN STREET, LITTLE FERRY, NJ 07643
(201) 440-8884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC0309
NJ
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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