MEDICARE: DR. ANTHONY A ROSANIA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00584600	NJ

General Provider Information

NPI Number	:	1154324291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY A ROSANIA D.C.

Provider Business Mailing Address
First Line	:	2225 ROUTE 9
Second Line	:	STORE 4
City	:	HOWELL
State	:	NJ
Zip	:	07731-3714
Country	:	US
Telephone Number	:	973-768-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 ROUTE 9
Second Line	:	STORE 4
City	:	HOWELL
State	:	NJ
Zip	:	07731-3714
Country	:	US
Telephone Number	:	973-768-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/30/2010

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