PHILIP ANTHONY PASSALAQUA

SEA GIRT, NJ
NPI1063670131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA02052200)
Enumeration Date2008-05-27
Last Update Date2008-05-27
Business Address
DR. PHILIP ANTHONY PASSALAQUA M.D.
311 CRESCENT PKWY
SEA GIRT, NJ 08750-3015
Phone number: 732-974-0437
Mailing Address
DR. PHILIP ANTHONY PASSALAQUA M.D.
311 CRESCENT PKWY
SEA GIRT, NJ 08750-3015
Phone number: