| Doctor Name: | MR. ANTHONY J ENRICO |
| NPI Number: | 1013095975 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 25MD00172300 |
| Business Practice Address: | 628 Broadway Paterson, NJ - 075141918 |
| Business Phone Number: | 9732788001 |
| Business Fax Number: | 9737426793 |
| Mailing Address: | 628 Broadway, PATERSON |
| State: | NJ |
| Postal Code: | 075141918 |
| Phone Number: | 9732788001 |
| Fax Number: | 9737426793 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 09/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00172300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |