Healthcare Provider Details

I. General information

NPI: 1851642797
Provider Name (Legal Business Name): ANTHONY SAMUEL POZZESSERE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2012
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 POST RD STE M5
OAKLAND NJ
07436-1615
US

IV. Provider business mailing address

9 POST RD STE M5
OAKLAND NJ
07436-1615
US

V. Phone/Fax

Practice location:
  • Phone: 201-327-0220
  • Fax: 201-327-4871
Mailing address:
  • Phone: 201-327-0220
  • Fax: 201-327-4871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA09908800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: