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Individual

DR. LIONEL ANICETTE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
407 VOSE AVE, SOUTH ORANGE, NJ 07079-3013
(973) 762-3399
Mailing address
407 VOSE AVE, SOUTH ORANGE, NJ 07079-3013
(973) 762-3399

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA66546
NJ

Other

Enumeration date
12/28/2007
Last updated
02/11/2010
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