Individual
DR. ANTHONY DEGENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
370 STATE HIGHWAY 35, SUITE 100, RED BANK, NJ 07701
(732) 530-7799
(732) 530-9091
Mailing address
370 STATE HIGHWAY 35, SUITE 100, RED BANK, NJ 07701
(732) 530-7799
(732) 530-9091
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
161571-1
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
51666
NJ
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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