Anthony Joseph Iadisernia, DPT

NPI #1043822935 in Eatontown, New Jersey

Provider Information

NPI Number: 1043822935
Entity Type: Individual
Name: Anthony Joseph Iadisernia, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 20, 2020
Last Updated: Aug 20, 2020

Practice Location

Address: 1 MAIN ST STE 505
City: Eatontown
State: New Jersey
ZIP Code: 07724-3903
Phone: (732) 493-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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