Cannistra, Anthony Joseph

Cannistra, Anthony Joseph is an individual health care provider with primary practice located at 333 School St Suite 112, Pawtucket RI 02860-5334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cannistra, Anthony Joseph can be contacted via phone (401) 723-1210.

Contact Information

Primary practice address
333 School St Suite 112 Pawtucket RI 02860-5334
Phone: (401) 723-1210
Fax: (401) 312-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD08606 Rhode Island

Profile Details

NPI number 1295796621
LBN Legal business name Cannistra, Anthony Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 1st, 2010 - about 15 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 1295796621 NPPES
Rhode Island Other J1392902 MEDICARE PTAN
Rhode Island MEDICAID 7004186 MEDICARE PTAN

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