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NPI Code Detail

MEDICARE: ANTHONY INGUAGGIATO MD LLC

MEDICARE: ANTHONY INGUAGGIATO MD LLC
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
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386891539
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTHONY INGUAGGIATO MD LLC
Provider Business Mailing Address
First Line : PO BOX 900
Second Line :
City : ALPINE
State : NJ
Zip : 07620-0900
Country : US
Telephone Number : 212-995-5308
Fax Number :
Provider Business Practice Location Address
First Line : 201 E 16TH ST RM 4B
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3706
Country : US
Telephone Number : 212-995-5308
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. ANTHONY INGUAGGIATO
Credential : MD
Telephone Number : 212-995-5308
Provider Enumeration Date : 08/19/2008
Last Update Date : 08/19/2008

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Directions to “ANTHONY INGUAGGIATO MD LLC ” Practice Location

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