DR. ANTHONY WILLIAM VILLARE MD NPI 1114954054

NPI Information

NPI: 1114954054
Provider Name: DR. ANTHONY WILLIAM VILLARE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
560 MANTUA AVE
PAULSBORO, NJ
ZIP 08066
Phone: (856) 423-5466
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DR. Anthony William Villare, MD is a family medicine in Paulsboro, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Anthony William Villare, MD NPI is 1114954054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

560 MANTUA AVE
PAULSBORO, NJ
ZIP 08066
Phone: (856) 423-5466

The enumeration date for this NPI number is 6/27/2006 and was last updated on 9/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD039413L	PENNSYLVANIA	No
2	207Q00000X	Family Medicine		MA57364	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1638203	MEDICAID	NEW JERSEY
2	188890	MEDICARE PIN	PENNSYLVANIA
3	453306	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
4	C33120	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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