MEDICARE: ANTHONY J. TAMBURELLO DC

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	111N00000X	Chiropractor	38MC00394700	NJ

General Provider Information

NPI Number	:	1528159472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY J. TAMBURELLO DC

Provider Business Mailing Address
First Line	:	1868 HOOPER AVE
Second Line	:	UNIT #6
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-8175
Country	:	US
Telephone Number	:	732-255-8000
Fax Number	:	732-255-4580

Provider Business Practice Location Address
First Line	:	1868 HOOPER AVE
Second Line	:	UNIT #6
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-8175
Country	:	US
Telephone Number	:	732-255-8000
Fax Number	:	732-255-4580

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	04/20/2010

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