Provider Demographics
NPI:1710946587
Name:GASALBERTI, ANTHONY (XRAY TECHNICIAN)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:GASALBERTI
Suffix:
Gender:M
Credentials:XRAY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HERITAGE CT
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-4801
Mailing Address - Country:US
Mailing Address - Phone:201-913-5475
Mailing Address - Fax:
Practice Address - Street 1:6 HERITAGE CT
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-4801
Practice Address - Country:US
Practice Address - Phone:201-913-5475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJA828964143OtherUNITEDHEALTHCARE