Provider Demographics
NPI:1003237769
Name:ANTER, AFAF A (DO)
Entity Type:Individual
Prefix:DR
First Name:AFAF
Middle Name:A
Last Name:ANTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 FEDERAL STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1163
Mailing Address - Country:US
Mailing Address - Phone:856-382-6625
Mailing Address - Fax:856-412-5229
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:DORRANCE 222
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-3150
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB09477500208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0426971Medicaid
NJ0426971Medicaid