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NPI 1679548119

NPI 1679548119 : ANTHONY S LOMBARDI MD PC : EATONTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1679548119
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANTHONY S LOMBARDI MD PC 
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Dates
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    Enumeration Date     |    02/20/2006
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    Last Update Date     |    03/16/2012
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Provider Practice Location Address
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    Address Line         |    32 CORBETT WAY 
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    City                 |    EATONTOWN
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    State                |    NJ
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    Zip                  |    07724-2263
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    Country              |    US
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    Telephone            |    732-460-9555
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    Fax                  |    732-460-0699
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Provider Business Mailing Address
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    Address Line         |    PO BOX 277 
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    City                 |    OAKHURST
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    State                |    NJ
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    Zip                  |    07755-0277
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    Country              |    US
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    Telephone            |    732-460-9555
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    Fax                  |    732-460-0699
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ANTHONY STEPHEN LOMBARDI 
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    Credential           |    MD
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    Telephone            |    732-460-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    
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    License Number State |    
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