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NPI Code Detail

MEDICARE: MR. ANTHONY DEEUGENIO III D.C.

MEDICARE:  MR. ANTHONY  DEEUGENIO III D.C.
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
1111N00000XChiropractorDC009628PA

General Provider Information

NPI Number : 1184822165
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY DEEUGENIO III D.C.
Provider Business Mailing Address
First Line : 170 LANGLEY RD
Second Line :
City : PITTSGROVE
State : NJ
Zip : 08318-2032
Country : US
Telephone Number : 856-305-2145
Fax Number :
Provider Business Practice Location Address
First Line : 1726 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-2300
Country : US
Telephone Number : 215-551-3720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 07/11/2007

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Directions to “ MR. ANTHONY DEEUGENIO III D.C.” Practice Location

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