Individual
DR. MICHELE MARIE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4200
(856) 696-6714
Mailing address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04974000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4472004
—
NJ
01
—
638547B1G
MEDICARE BILLING NO.
NJ
Enumeration date
07/17/2006
Last updated
07/08/2011
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