Provider Demographics
NPI:1306172762
Name:CHRISTIANO, ANTHONY D (DO)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:D
Last Name:CHRISTIANO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:ANTHONY
Other - Middle Name:D
Other - Last Name:CHRISTIANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:15 TORONTO DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7531
Mailing Address - Country:US
Mailing Address - Phone:732-920-5206
Mailing Address - Fax:
Practice Address - Street 1:15 TORONTO DR
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7531
Practice Address - Country:US
Practice Address - Phone:732-920-5206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB02499100208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice