Antonello, Anthony

Antonello, Anthony is an individual health care provider with primary practice located at 1098 W Baltimore Pike Suite 3302, Media PA 19063-5139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Antonello, Anthony can be contacted via phone (610) 565-6780.

Contact Information

Primary practice address
1098 W Baltimore Pike Suite 3302 Media PA 19063-5139
Phone: (610) 565-6780
Fax: (610) 565-9390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD-044041-E Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD044041E Pennsylvania

Profile Details

NPI number 1548265374
LBN Legal business name Antonello, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Nov 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548265374 NPPES
Pennsylvania MEDICAID 001174031

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