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:
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