Individual
MR. ANTHONY ANDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
25 POCONO RD, DENVILLE, NJ 07834-2954
(973) 625-6063
Mailing address
9 TOTTENHAM CT, JERSEY CITY, NJ 07305-5502
(732) 690-0121
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
25MP00104500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00334812
RAILROAD
NJ
Enumeration date
10/05/2006
Last updated
11/30/2007
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