Active NPIIndividual provider

Dr. Anthony D Dibona Jr., DO

Family Medicine in Voorhees, New Jersey

NPI Number1194785717
Practice location
1605 E Evesham RD Ste 100A, Voorhees, NJ 08043-1437
Fax
856-424-2629
Last updated
November 15, 2024

Anthony D Dibona is a Family Medicine based in Voorhees, NJ. Anthony D Dibona practices in Voorhees, NJ and has the professional credentials of DO. The NPI Number for Anthony D Dibona is 1194785717 and holds a License No. 25MB04122000 (NJ). The current practice location address for Anthony D Dibona is 1605 E Evesham RD Ste 100A, Voorhees, NJ 08043-1437 and can be reached out via phone at 856-841-7100 and via fax at 856-424-2629.

Provider Profile Details

NPI Number
1194785717
Provider Name
Anthony D Dibona
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1605 E Evesham RD Ste 100A, Voorhees, NJ 08043-1437
Phone Number
856-841-7100
Fax Number
856-424-2629
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2006
Last Update Date
November 15, 2024
Certification Date
November 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1605 E Evesham RD Ste 100A
Voorhees, NJ 08043-1437
Zip
08043-1437
Phone Number
856-841-7100
Fax Number
856-424-2629
Voorhees, NJ 08043Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340
Fax Number
856-355-0330

License Information

License Number
25MB04122000
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Anthony D Dibona Jr., DO?

The NPI number of Dr. Anthony D Dibona Jr., DO is 1194785717. It was assigned on March 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Anthony D Dibona Jr., DO?

Dr. Anthony D Dibona Jr., DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB04122000.

Where does Dr. Anthony D Dibona Jr., DO practice?

The practice location is 1605 E Evesham RD Ste 100A, Voorhees, NJ 08043-1437. The office can be reached at 856-841-7100 (phone) or 856-424-2629 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194785717 directly on the NPPES registry website.

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