Individual
DR. ANTHONY JAMES SCILLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 VALLEY RD, SUITE 200, WAYNE, NJ 07470-3534
(973) 694-2690
Mailing address
504 VALLEY RD, SUITE 200, WAYNE, NJ 07470-3534
(973) 694-2690
(973) 694-2762
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA09300300
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA09300300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320747ZEL2
MEDICARE PTAN
NJ
Enumeration date
09/03/2007
Last updated
01/13/2014
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