Healthcare Provider Details

I. General information

NPI: 1285665208
Provider Name (Legal Business Name): ANTHONY C OPARAJI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 10/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 HIGH ST NEWTON MEMORIAL HOSPITAL
NEWTON NJ
07860-1004
US

IV. Provider business mailing address

175 HIGH ST NEWTON MEMORIAL HOSPITAL
NEWTON NJ
07860-1004
US

V. Phone/Fax

Practice location:
  • Phone: 973-579-8419
  • Fax: 973-579-8807
Mailing address:
  • Phone: 973-579-8419
  • Fax: 973-579-8807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number233984
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number07154400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: