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Individual

DR. ANTHONY R FORESTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 MANHATTAN AVE, SUITE 1, UNION CITY, NJ 07087-5205
(201) 420-6154
Mailing address
303 MANHATTAN AVE, SUITE 1, UNION CITY, NJ 07087-5205
(201) 420-6154

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07636900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0112003
NJ
01
P00880956
RR MEDICARE
NJ
Enumeration date
07/04/2006
Last updated
02/09/2011
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