person
Anthony J. Piccolo, PA
Medical Physician Assistant in Verona, New Jersey
NPI 1164933149

Anthony J. Piccolo is a Medical Physician Assistant based in Verona, NJ and is specialized in Medical. Anthony J. Piccolo practices in Verona, NJ and has the professional credentials of PA. The NPI Number for Anthony J. Piccolo is 1164933149 and holds a License No. 25MP00452200 (New Jersey).

The current practice location address for Anthony J. Piccolo is 197 Bloomfield Ave, Verona, NJ and can be reached out via phone at 973-857-0330 and via fax at 973-857-0980.

Location: 197 Bloomfield Ave, Verona, NJ, 07044-2702
person
Provider Profile Details
NPI Number
1164933149
Provider Name
Anthony J. Piccolo
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
197 Bloomfield Ave, Verona, NJ, 07044-2702
Phone Number
973-857-0330
Fax Number
973-857-0980
Provider Enumeration Date
10/18/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0637751 05 NJ
institution
Provider Business Practice Location Address Details
Address
197 Bloomfield Ave
City
State
Zip
07044-2702
Phone Number
973-857-0330
Fax Number
973-857-0980
person
Provider Business Mailing Address Details
Address
197 Bloomfield Ave
City
State
Zip
07044-2702
Phone Number
973-857-0330
Fax Number
973-857-0980
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00452200 (New Jersey)
Definition
Definition to come...
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