Cordisco, Anthony J

Cordisco, Anthony J is an individual health care provider with primary practice located at 1105 Sunset Rd Coopertown Plaza, Burlington NJ 08016-2290. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Cordisco, Anthony J can be contacted via phone (609) 386-7807.

Contact Information

Primary practice address
1105 Sunset Rd Coopertown Plaza Burlington NJ 08016-2290
Phone: (609) 386-7807
Fax: (609) 386-6065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00157400 New Jersey

Profile Details

NPI number 1962489344
LBN Legal business name Cordisco, Anthony J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 8th, 2007 - about 18 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 1962489344 NPPES
New Jersey MEDICAID 2169703

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