Individual
ANTHONY SCARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 CENTRE DR, SUITE A, MONROE TWP, NJ 08831-1564
(609) 395-2460
(609) 409-3985
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA035545
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460206
—
NJ
01
—
290003883
RAILROAD MEDICARE PTAN
NJ
Enumeration date
06/12/2006
Last updated
10/28/2008
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