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Individual

ANTHONY MONTELEONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1302 N DELSEA DR, VINELAND, NJ 08360-2278
(856) 696-3904
(856) 696-8333
Mailing address
1302 N DELSEA DR, VINELAND, NJ 08360-2278
(856) 696-3904
(856) 696-8333

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00473100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2143602000
AMERIHEALTH
NJ
01
222739868
HORIZON
NJ
05
329460901
NJ
01
35517
AETNA
NJ
01
FH2099325
FIRST HEALTH
NJ
Enumeration date
06/03/2006
Last updated
12/10/2012
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