Provider Demographics
NPI:1134136344
Name:AQUINO, ANTHONY T (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:T
Last Name:AQUINO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2602
Mailing Address - Country:US
Mailing Address - Phone:908-852-9000
Mailing Address - Fax:908-850-6578
Practice Address - Street 1:26 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840
Practice Address - Country:US
Practice Address - Phone:908-852-9000
Practice Address - Fax:908-850-6578
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00160100106H00000X
NJ35S100560900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist