Anthony, Anngene Grace

Anthony, Anngene Grace is an individual health care provider with primary practice located at 530 Main St Suite 4A, Chester NJ 07930-2669. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anthony, Anngene Grace can be contacted via phone (908) 879-4300.

Contact Information

Primary practice address
530 Main St Suite 4A Chester NJ 07930-2669
Phone: (908) 879-4300
Fax: (908) 879-8956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD11471 Rhode Island
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA08246800 New Jersey

Profile Details

NPI number 1306829239
LBN Legal business name Anthony, Anngene Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Sep 12th, 2012 - about 12 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 1306829239 NPPES
New Jersey MEDICAID 0217417

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