Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 40QA04492 | NJ |
NPI | 1033153408 |
---|---|
Provider Name | Mr. Anthony John Cuomo |
First Address | Fanwood, NJ 07023-1631 |
Second Address | Hillsborough, NJ 08844-1400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 08/07/2007 |