MEDICARE: ANTHONY B CIFELLI M.D.

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
1	207R00000X	Internal Medicine Physician	MA045812	NJ

General Provider Information

NPI Number	:	1245228451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY B CIFELLI M.D.

Provider Business Mailing Address
First Line	:	116 LITTLETON RD
Second Line	:
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-2519
Country	:	US
Telephone Number	:	973-829-0191
Fax Number	:	973-829-1562

Provider Business Practice Location Address
First Line	:	116 LITTLETON RD
Second Line	:
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-2519
Country	:	US
Telephone Number	:	973-829-0191
Fax Number	:	973-829-1562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	04/07/2011

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