person
Dr. Anthony Guy Miccio, MD
General Practice Physician in Flanders, New Jersey
NPI 1346280567

Anthony Guy Miccio is a General Practice Physician based in Marlton, NJ. Anthony Guy Miccio practices in Flanders, NJ and has the professional credentials of MD. The NPI Number for Anthony Guy Miccio is 1346280567 and holds a License No. 25MA06222600 (New Jersey).

The current practice location address for Anthony Guy Miccio is 183 Route 206 South, Flanders, NJ and can be reached out via phone at 973-347-3277 and via fax at 973-347-3141.

Location: 183 Route 206 South, Flanders, NJ, 08053-4112
person
Provider Profile Details
NPI Number
1346280567
Provider Name
Anthony Guy Miccio
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
183 Route 206 South, Flanders, NJ, 08053-4112
Phone Number
973-347-3277
Fax Number
973-347-3141
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6564500 05 NJ
institution
Provider Business Practice Location Address Details
Address
183 Route 206 South
City
State
Zip
07836
Phone Number
973-347-3277
Fax Number
973-347-3141
person
Provider Business Mailing Address Details
Address
183 Route 206 South
City
State
Zip
07836
Phone Number
973-347-3277
Fax Number
973-347-3141
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
25MA06222600 (New Jersey)
Definition
Definition to come...
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