Provider Demographics
NPI:1992008056
Name:ANTHONY A. CHIURCO, MD, LLC.
Entity Type:Organization
Organization Name:ANTHONY A. CHIURCO, MD, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHIURCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-895-8898
Mailing Address - Street 1:3131 PRINCETON PIKE
Mailing Address - Street 2:BUILDING 4, SUITE 201
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2201
Mailing Address - Country:US
Mailing Address - Phone:609-895-8898
Mailing Address - Fax:609-895-8330
Practice Address - Street 1:3131 PRINCETON PIKE
Practice Address - Street 2:BUILDING 4, SUITE 201
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2201
Practice Address - Country:US
Practice Address - Phone:609-895-8898
Practice Address - Fax:609-895-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03134400174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty