Piccolo, Anthony J.

Piccolo, Anthony J. is an individual health care provider with primary practice located at 197 Bloomfield Ave , Verona NJ 07044-2702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Piccolo, Anthony J. can be contacted via phone (973) 857-0330.

Contact Information

Primary practice address
197 Bloomfield Ave Verona NJ 07044-2702
Phone: (973) 857-0330
Fax: (973) 857-0980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00452200 New Jersey

Profile Details

NPI number 1164933149
LBN Legal business name Piccolo, Anthony J.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2017
Last updated Apr 27th, 2023 - about 2 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 1164933149 NPPES
New Jersey MEDICAID 0637751

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