Provider Demographics
NPI:1639114093
Name:TRAMONTANA, ANTHONY F (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:F
Last Name:TRAMONTANA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:579A CRANBURY ROAD
Mailing Address - Street 2:UNIVERSITY RADIOLOGY GROUP PC
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-390-0040
Mailing Address - Fax:732-390-1856
Practice Address - Street 1:355 GRAND STREET
Practice Address - Street 2:JERSEY CITY MEDICAL CENTER
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4321
Practice Address - Country:US
Practice Address - Phone:201-418-1820
Practice Address - Fax:201-418-1822
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2011-08-10
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA037174002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3213307Medicaid
NJ3213307Medicaid
NJ509144Medicare PIN