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1114996477
ANTHONY J BARRAVECCHIO
WAYNE, NJ
NPI
1114996477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MB06978600)
Enumeration Date
2006-03-17
Last Update Date
2013-04-04
Business Address
-- ANTHONY J BARRAVECCHIO D.O.
510 HAMBURG TPKE WAYNE COMMONS, SUITE 101
WAYNE, NJ 07470-2025
Phone number: 973-942-6005
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Mailing Address
-- ANTHONY J BARRAVECCHIO D.O.
510 HAMBURG TPKE WAYNE COMMONS, SUITE 101
WAYNE, NJ 07470-2025
Phone number: 973-942-6005
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