Individual
DR. ANTHONY PETER ACQUAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3 COOPER PLZ, CAMDEN, NJ 08103-1438
(856) 342-2001
Mailing address
1 FEDERAL ST # 100, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD059389-L
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA10186100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016025300007
—
PA
Enumeration date
05/05/2006
Last updated
03/05/2018
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