Provider Demographics
NPI:1932259462
Name:LOMBARDI, ANTHONY STEPHEN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:STEPHEN
Last Name:LOMBARDI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:32 CORBETT WAY
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2263
Mailing Address - Country:US
Mailing Address - Phone:732-460-9555
Mailing Address - Fax:732-460-0699
Practice Address - Street 1:32 CORBETT WAY
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2263
Practice Address - Country:US
Practice Address - Phone:732-460-9555
Practice Address - Fax:732-460-0699
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA058741208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG53096Medicare UPIN