Provider Demographics
NPI:1063466357
Name:CIOCE, ANTHONY J JR (DO)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:CIOCE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:95 MADISON AVE STE 409
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7336
Mailing Address - Country:US
Mailing Address - Phone:973-267-9400
Mailing Address - Fax:973-998-8805
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6092
Practice Address - Country:US
Practice Address - Phone:973-267-1010
Practice Address - Fax:973-267-5521
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB062666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG78726Medicare UPIN
NJ011617PG2Medicare ID - Type Unspecified