Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MA0558090 | NJ |
NPI | 1013007418 |
---|---|
Provider Name | David M Anapolle |
First Address | Somers Point, NJ 08244-2038 |
Second Address | Somers Point, NJ 08244-2038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2006 |
Last Update Date | 26/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6280803 | (05) | NJ |
F96399 | (02) |