Active NPIIndividual providerSole proprietor

Dr. Anthony E Pucci, DO

Surgery in Ridgewood, New Jersey

NPI Number1255452447
Practice location
61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255
Fax
201-447-2809
Last updated
July 8, 2007

Anthony Enrico Pucci is a Surgery based in Ridgewood, NJ. Anthony Enrico Pucci practices in Ridgewood, NJ and has the professional credentials of DO. The NPI Number for Anthony Enrico Pucci is 1255452447 and holds a License No. 25MB08213100 (NJ). The current practice location address for Anthony Enrico Pucci is 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 and can be reached out via phone at 201-447-2808 and via fax at 201-447-2809.

Provider Profile Details

NPI Number
1255452447
Provider Name
Anthony Enrico Pucci
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255
Phone Number
201-447-2808
Fax Number
201-447-2809
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 N Maple Ave
Suite 205
Ridgewood, NJ 07450-3255
Zip
07450-3255
Phone Number
201-447-2808
Fax Number
201-447-2809
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
61 N Maple Ave
Suite 205
Ridgewood, NJ 07450-3255
City
Ridgewood
State
NJ
Zip
07450-3255
Phone Number
201-447-2808
Fax Number
201-447-2809

License Information

License Number
25MB08213100
License State
NJ
Taxonomy
Surgery · 208600000X · 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 E Pucci, DO?

The NPI number of Dr. Anthony E Pucci, DO is 1255452447. It was assigned on April 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Anthony E Pucci, DO?

Dr. Anthony E Pucci, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MB08213100.

Where does Dr. Anthony E Pucci, DO practice?

The practice location is 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255. The office can be reached at 201-447-2808 (phone) or 201-447-2809 (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 1255452447 directly on the NPPES registry website.

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