Provider Demographics
NPI:1316939580
Name:BARONE, ANTHONY JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:BARONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 VIENNA RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-8602
Mailing Address - Country:US
Mailing Address - Phone:413-629-3008
Mailing Address - Fax:
Practice Address - Street 1:171 VIENNA RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-8602
Practice Address - Country:US
Practice Address - Phone:413-629-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004209-1111N00000X
FLCH11269111N00000X
NJ38MC00284600111N00000X
MA3744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400918961OtherMEDICARE PTAN
NJ170546OtherMEDICARE PTAN