Provider Demographics
NPI:1437327384
Name:DR. ANTHONY A. FIORILLI
Entity Type:Organization
Organization Name:DR. ANTHONY A. FIORILLI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FIORILLI
Authorized Official - Suffix:SR
Authorized Official - Credentials:OD
Authorized Official - Phone:732-367-2040
Mailing Address - Street 1:503 CANDLEWOOD COMMONS
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2172
Mailing Address - Country:US
Mailing Address - Phone:732-367-2040
Mailing Address - Fax:
Practice Address - Street 1:503 CANDLEWOOD COMMONS
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2172
Practice Address - Country:US
Practice Address - Phone:732-367-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00367800332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0256130001Medicare NSC