MEDICARE: DR. TONY JUNEJA MD

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	2084P0802X	Addiction Psychiatry Physician	25MA08022900	NJ
2	2084P0802X	Addiction Psychiatry Physician	249727-1	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1871519215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY JUNEJA MD

Provider Business Mailing Address
First Line	:	1215 ROUTE 70
Second Line	:	SUITE 1001
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-6958
Country	:	US
Telephone Number	:	732-942-5056
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 ROUTE 70
Second Line	:	SUITE 1001
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-6958
Country	:	US
Telephone Number	:	732-942-5056
Fax Number	:

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	10/14/2013

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