Individual
DR. ANTHONY C MORETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 TENNESSEE ST APT 304, MEMPHIS, TN 38103-4476
(901) 626-9560
Mailing address
505 TENNESSEE ST APT 304, MEMPHIS, TN 38103-4476
(901) 626-9560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38362
TN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
38362
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3890839
—
TN
Enumeration date
07/28/2005
Last updated
07/22/2019
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