Individual
DR. JOHN JOSEPH INTILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 FISCHER BLVD, TOMS RIVER, NJ 08753-4662
(732) 929-4566
(732) 929-4450
Mailing address
751 FISCHER BLVD, TOMS RIVER, NJ 08753-4662
(732) 929-4566
(732) 929-4450
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MAO61056
NJ
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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