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NPI Code Detail

MEDICARE: ANTHONY M TONZOLA MD PC

MEDICARE: ANTHONY M TONZOLA MD PC
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
1208600000XSurgery Physician25MA02791400NJ

General Provider Information

NPI Number : 1902135254
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTHONY M TONZOLA MD PC
Provider Business Mailing Address
First Line : 1503 SAINT GEORGES AVE
Second Line : SUITE 201
City : COLONIA
State : NJ
Zip : 07067-3425
Country : US
Telephone Number : 732-382-0880
Fax Number :
Provider Business Practice Location Address
First Line : 1503 SAINT GEORGES AVE
Second Line : SUITE 201
City : COLONIA
State : NJ
Zip : 07067-3425
Country : US
Telephone Number : 732-382-0880
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANTHONY M TONZOLA
Credential : MD
Telephone Number : 732-382-0880
Provider Enumeration Date : 12/16/2009
Last Update Date : 12/16/2009

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