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Individual

ANTHONY PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
175 FRANKLIN AVENUE, SUITE 103, NUTLEY, NJ 07110-1253
(973) 661-1833
(973) 661-2270
Mailing address
175 FRANKLIN AVENUE, SUITE 103, NUTLEY, NJ 07110-1253
(973) 661-1833
(973) 661-2270

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA07463100
NJ

Other

Enumeration date
10/04/2006
Last updated
05/25/2012
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