Dimura, Anthony

Dimura, Anthony is an individual health care provider with primary practice located at 10 Drs James Parker Blvd Ste 105 , Red Bank NJ 07701-1500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Dimura, Anthony can be contacted via phone (908) 433-7263.

Contact Information

Primary practice address
10 Drs James Parker Blvd Ste 105 Red Bank NJ 07701-1500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00806900 New Jersey

Profile Details

NPI number 1124520333
LBN Legal business name Dimura, Anthony
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2018
Last updated Mar 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124520333 NPPES
New Jersey MEDICAID 0621111

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