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Individual

MARCANTONIO NANFARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1907 NEW ROAD, NORTHFIELD, NJ 08225
(609) 484-9119
(609) 484-9965
Mailing address
1907 NEW ROAD, NORTHFIELD, NJ 08225
(609) 484-9119
(609) 484-9965

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05346500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1044155
HORIZON NJ HEALTH FAMILY
01
1467506
PPO
01
2151595001
AMERIHEALTH
NJ
01
2151595001
AMERIHEALTH HMO
01
2K2891
HEALTHNET
01
3126152
CIGNA
NJ
01
4202658
AETNA PPO
01
47351
AETNA COP OFFICE
01
495148
AETNA HMO
05
7220006
NJ
01
83475
AMERIGROUP
NJ
01
F13780
AMERIHEALTH ADMINISTRATOR
01
K3831
HMO HORIZON
NJ
Enumeration date
07/04/2006
Last updated
12/03/2009
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