Deriso, Anthony J

Deriso, Anthony J is an sole proprietor health care provider with primary practice located at 1200 Prospect St Ste 101 , Sandusky OH 44870-3366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Deriso, Anthony J can be contacted via phone (419) 609-8000.

Contact Information

Primary practice address
1200 Prospect St Ste 101 Sandusky OH 44870-3366
Phone: (419) 609-8000
Fax: (419) 609-8002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2776 Wisconsin
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 35064444 Ohio

Profile Details

NPI number 1861459265
LBN Legal business name Deriso, Anthony J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Aug 22nd, 2023 - about 2 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 1861459265 NPPES
Ohio MEDICAID 0883469

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