Anzalone, Anthony C

Anzalone, Anthony C is an individual health care provider with primary practice located at 2400 Maryland Rd Ste 30, Willow Grove PA 19090-1700. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Anzalone, Anthony C can be contacted via phone (215) 659-4400.

Contact Information

Primary practice address
2400 Maryland Rd Ste 30 Willow Grove PA 19090-1700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC002409L Pennsylvania

Profile Details

NPI number 1063417640
LBN Legal business name Anzalone, Anthony C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 15th, 2012 - about 12 years ago

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 1063417640 NPPES
Pennsylvania MEDICAID 00126855902
Pennsylvania Other 480018099

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