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Individual

DR. ANTHONY CHARLES SOTTILE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
627 WALNUT ST, COLUMBIA, PA 17512-1220
(717) 684-2648
(717) 684-7989
Mailing address
627 WALNUT ST, COLUMBIA, PA 17512-1220
(717) 684-2648
(717) 684-7989

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002502L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01541001
BL/CR
01
12491
H/AM/H/ASSUR
01
992157
KEYSTONE
Enumeration date
08/23/2005
Last updated
07/08/2007
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