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Individual

ANTHONY EDWARD DALLALIO

Active
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Individual

ANTHONY EDWARD DALLALIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002127
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000251380
ANTHEM
OH
05
—
0515080
—
OH
01
—
27-01324
UHC
OH
01
—
480034630
RAILROAD MEDICARE
—
Enumeration date
05/31/2005
Last updated
05/20/2010
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