Provider Demographics
NPI:1134206295
Name:LABARBIERA, ANTHONY PETER (DPM,DABPS)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:PETER
Last Name:LABARBIERA
Suffix:
Gender:M
Credentials:DPM,DABPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 REDNECK AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-1382
Mailing Address - Country:US
Mailing Address - Phone:201-641-6764
Mailing Address - Fax:201-785-1137
Practice Address - Street 1:18 REDNECK AVE
Practice Address - Street 2:
Practice Address - City:LITTLE FERRY
Practice Address - State:NJ
Practice Address - Zip Code:07643-1382
Practice Address - Country:US
Practice Address - Phone:201-641-6764
Practice Address - Fax:201-785-1137
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00190200213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1798707Medicaid
NJT88202Medicare UPIN
NJ573030Medicare ID - Type Unspecified