Individual
ANTHONY C ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2400 MARYLAND RD, STE 30, WILLOW GROVE, PA 19090-1700
(215) 659-4400
Mailing address
2400 MARYLAND RD, STE 30, WILLOW GROVE, PA 19090-1700
(215) 659-4400
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002409L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126855902
—
PA
01
—
480018099
PALMETTOGBA-RRMEDICARE
—
Enumeration date
06/20/2005
Last updated
08/15/2012
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