MEDICARE: ANTHONY BRANDIMARTI

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	183500000X	Pharmacist	28RI03260700	NJ

General Provider Information

NPI Number	:	1427364934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY BRANDIMARTI

Provider Business Mailing Address
First Line	:	1 HUNTER DR
Second Line	:
City	:	LITTLE EGG HARBOR TWP
State	:	NJ
Zip	:	08087-1917
Country	:	US
Telephone Number	:	609-812-5910
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HUNTER DR
Second Line	:
City	:	LITTLE EGG HARBOR TWP
State	:	NJ
Zip	:	08087-1917
Country	:	US
Telephone Number	:	609-812-5910
Fax Number	:

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

Provider Enumeration Date	:	08/20/2010
Last Update Date	:	08/20/2010

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Directions to “ ANTHONY BRANDIMARTI ” Practice Location

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