Individual
MR. DOMINIC ANTHONY ACCHITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C
Contact information
Practice address
501 JARVIS RD, SICKLERVILLE, NJ 08081-2169
(856) 232-9703
Mailing address
1794 WITHERSPOON CT, TURNERSVILLE, NJ 08012-2216
(856) 589-8477
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
25MT00059500
NJ
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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