Barravecchio, Anthony J

Barravecchio, Anthony J is an individual health care provider with primary practice located at 510 Hamburg Tpke Wayne Commons, Suite 101, Wayne NJ 07470-2025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Barravecchio, Anthony J can be contacted via phone (973) 942-6005.

Contact Information

Primary practice address
510 Hamburg Tpke Wayne Commons, Suite 101 Wayne NJ 07470-2025
Phone: (973) 942-6005
Fax: (973) 942-6009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB06978600 New Jersey

Profile Details

NPI number 1114996477
LBN Legal business name Barravecchio, Anthony J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 4th, 2013 - 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 1114996477 NPPES
New Jersey Other 7678228 AETNA PPO #
New Jersey Other 1K8291 AETNA PPO #
New Jersey Other 6R2921 AETNA PPO #
New Jersey Other 080180176 AETNA PPO #
New Jersey Other 2016613000 AETNA PPO #
New Jersey Other 2586866 AETNA PPO #
New Jersey MEDICAID 8643903 AETNA PPO #
New Jersey Other 5716972 AETNA PPO #
New Jersey Other P2010902 AETNA PPO #

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