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Individual
DR. GERALD A ANZALONE
Active
Individual
DR. GERALD A ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006-0001009
VT
111N00000X
Chiropractor
510-1197
NH
111N00000X
Chiropractor
IA-006984
IA
111N00000X
Chiropractor
Primary
X008552-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568497436
NPI
IA
01
—
610536500
FEDERAL WC DOL FECA
NY
01
—
610536600
FECA DCMWC FED WC
NY
01
—
CO-8552-4B
NYS WORKERS COMPENSATION
NY
Enumeration date
07/11/2006
Last updated
03/04/2016
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