Provider Demographics
NPI:1477684454
Name:POLITO, ANTHONY FRANK JR (MSW)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:FRANK
Last Name:POLITO
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 ELM ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-2249
Mailing Address - Country:US
Mailing Address - Phone:973-879-3076
Mailing Address - Fax:862-781-6147
Practice Address - Street 1:100 ENTERPRISE DR STE 301
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866
Practice Address - Country:US
Practice Address - Phone:862-781-6141
Practice Address - Fax:862-781-6147
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052367001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical