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Organization

DR. LAWRENCE J ANASTASI, PA

Active
Other names
The Medical Center of Margate
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE J ANASTASI DO (PRESIDENT)
(609) 823-6161
Entity
Organization

Contact information

Practice address
9501 VENTNOR AVE, MARGATE CITY, NJ 08402-2218
(609) 823-6161
(609) 823-3413
Mailing address
9501 VENTNOR AVE, MARGATE CITY, NJ 08402-2218
(609) 823-6161
(609) 823-3413

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
646151005
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021236602
CIGNA
NJ
01
0506248001
AMERIHEALTH
NJ
01
13532
AETNA US HEALTHCARE
NJ
01
3098
AETNA
NJ
05
3248909
NJ
Enumeration date
07/07/2005
Last updated
12/14/2010
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