Provider Demographics
NPI:1285665208
Name:OPARAJI, ANTHONY C (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:C
Last Name:OPARAJI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:175 HIGH ST
Mailing Address - Street 2:NEWTON MEMORIAL HOSPITAL
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-1004
Mailing Address - Country:US
Mailing Address - Phone:973-579-8419
Mailing Address - Fax:973-579-8807
Practice Address - Street 1:175 HIGH ST
Practice Address - Street 2:NEWTON MEMORIAL HOSPITAL
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1004
Practice Address - Country:US
Practice Address - Phone:973-579-8419
Practice Address - Fax:973-579-8807
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY233984207R00000X
NJ07154400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H79285Medicare UPIN