Provider Demographics
NPI:1245228451
Name:CIFELLI, ANTHONY B (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:B
Last Name:CIFELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ANTONIO
Other - Middle Name:B
Other - Last Name:CIFELLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:116 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2519
Mailing Address - Country:US
Mailing Address - Phone:973-829-0191
Mailing Address - Fax:973-829-1562
Practice Address - Street 1:116 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2519
Practice Address - Country:US
Practice Address - Phone:973-829-0191
Practice Address - Fax:973-829-1562
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA045812207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D06751Medicare UPIN
NJ504446Medicare ID - Type Unspecified