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NPI Code Detail

MEDICARE: DR. ANTHONY C INGENITO MD

MEDICARE: DR. ANTHONY C INGENITO MD
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
12085R0001XRadiation Oncology Physician25MA06354300NJ

General Provider Information

NPI Number : 1710940127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY C INGENITO MD
Provider Business Mailing Address
First Line : 1 DIAMOND HILL RD
Second Line :
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-2104
Country : US
Telephone Number : 908-273-4300
Fax Number :
Provider Business Practice Location Address
First Line : 1515 BROAD ST STE B120
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3059
Country : US
Telephone Number : 973-873-7000
Fax Number : 973-743-8943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 05/26/2023

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