Individual
ANTHONY J SQUILLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 BINGHAM AVE, SUITE A, OCEAN, NJ 07712-4700
(732) 775-9077
(732) 988-7852
Mailing address
301 BINGHAM AVE, SUITE A, OCEAN, NJ 07712-4700
(732) 775-9077
(732) 988-7852
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA49021
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1566105
—
NJ
Enumeration date
07/20/2005
Last updated
07/12/2010
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