Anthony, Michele Marie

Anthony, Michele Marie is an individual health care provider with primary practice located at 524 N West Blvd , Vineland NJ 08360-2845. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Anthony, Michele Marie can be contacted via phone (856) 405-4200.

Contact Information

Primary practice address
524 N West Blvd Vineland NJ 08360-2845
Fax: (856) 696-6714
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04974000 New Jersey

Profile Details

NPI number 1720006133
LBN Legal business name Anthony, Michele Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2011 - about 13 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 1720006133 NPPES
New Jersey MEDICAID 4472004
New Jersey Other 638547B1G

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