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Individual

DR. ANTHONY PERRICONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 W ARBOR DR, MAIL CODE 8892, SAN DIEGO, CA 92103-9001
(619) 543-7777
(619) 543-2652
Mailing address
200 W ARBOR DR, MAIL CODE 8892, SAN DIEGO, CA 92103-9001
(619) 543-7777
(619) 543-2652

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G65464
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G65464
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G654640
CA
Enumeration date
07/14/2006
Last updated
05/06/2011
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