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Individual
ANTHONY DALESSIO
Active
Individual
ANTHONY DALESSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
MD056882L
PA
207P00000X
Emergency Medicine Physician
Primary
MD056882L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015373520005
—
PA
01
—
MD056882L
LICENSE NUMBER
PA
Enumeration date
03/03/2006
Last updated
02/25/2009
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