Acquavella, Anthony Peter

Acquavella, Anthony Peter is an individual health care provider with primary practice located at 3 Cooper Plz , Camden NJ 08103-1438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Acquavella, Anthony Peter can be contacted via phone (856) 342-2001.

Contact Information

Primary practice address
3 Cooper Plz Camden NJ 08103-1438
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD059389-L Pennsylvania
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MA10186100 New Jersey

Profile Details

NPI number 1710935366
LBN Legal business name Acquavella, Anthony Peter
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710935366 NPPES
Pennsylvania MEDICAID 0016025300007

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