Individual
DR. DANTE ANTHONY IMPLICITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 W ESSEX ST STE 201, MAYWOOD, NJ 07607-1023
(201) 251-7725
(201) 251-2599
Mailing address
113 W ESSEX ST STE 201, MAYWOOD, NJ 07607-1023
(201) 251-7725
(201) 251-2599
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA05651300
NJ
Other
Enumeration date
07/26/2006
Last updated
10/26/2022
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