Individual
JOSEPH THOMAS MARCANTUONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12 RECKLESS PL, RED BANK, NJ 07701-1704
(908) 692-9485
Mailing address
12 RECKLESS PL, RED BANK, NJ 07701-1704
(908) 692-9485
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35SI00300100
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00300100
NJ
Other
Enumeration date
08/23/2006
Last updated
05/12/2011
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