Individual
DR. ANNGENE GRACE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 BAY AVENUE, SUITE 102, GLEN RIDGE, NJ 07028
(973) 748-9246
Mailing address
PO BOX 419430, BOSTON, MA 02241-9430
(214) 507-4034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08246800
NJ
207Q00000X
Family Medicine Physician
MD11471
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217417
—
NJ
Enumeration date
11/23/2005
Last updated
03/16/2026
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