Healthcare Provider Details

I. General information

NPI: 1053073585
Provider Name (Legal Business Name): ANESU RESTORATIVE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 QUAKERBRIDGE RD STE 105
HAMILTON NJ
08619-1003
US

IV. Provider business mailing address

3941 AMBERTON WAY
DOYLESTOWN PA
18902-1243
US

V. Phone/Fax

Practice location:
  • Phone: 609-581-0002
  • Fax: 609-581-0050
Mailing address:
  • Phone: 609-202-6156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS DOWNING DORIO
Title or Position: NURSE PRACTITIONER/OWNER
Credential: APN-C
Phone: 609-202-6156