Search › New Jersey › 101YA0400X
Anthony Defazio, MA
NPI 1962850198 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1540 Rte 138 Ste 202
Wall, NJ 07719 - Phone
- (732) 984-1263
- Fax
- (732) 515-9159
- Organisation at this address
- Guided Path Counseling
Anthony Defazio, Lcadc LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2017-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey