| Anthony Defazio, MA | |
|
1540 Rte 138 Ste 202, Wall, NJ 07719-3765 | |
| (732) 984-1263 | |
| (732) 515-9159 |
| Full Name | Anthony Defazio |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1540 Rte 138 Ste 202, Wall, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962850198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Defazio, MA 1540 Rt 138 Suite 202, Wall, NJ 07719 Ph: (732) 984-1263 | Anthony Defazio, MA 1540 Rte 138 Ste 202, Wall, NJ 07719-3765 Ph: (732) 984-1263 |
Jaclyn Disabato, MA, EDS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1540 Route 138 Ste 201, Wall, NJ 07719 Phone: 732-876-3510 | |
Dr. Savji L Bhatiya, M.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1540 Highway 138, Suite 208, Wall, NJ 07719 Phone: 732-776-4581 Fax: 732-776-4544 | |
Sarah Jasak, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1540 Route 138 Bldg 2, Suite 202, Wall, NJ 07719 Phone: 732-788-1247 | |
Thomas Hyland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1540 State Route 138 Ste 204b, Wall, NJ 07719 Phone: 732-927-1515 |