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Individual

DR. ANTHONY J DESALVO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.0.

Contact information

Practice address
801 N 66TH ST, PHILADELPHIA, PA 19151-3331
(215) 879-2500
(215) 879-6756
Mailing address
801 N 66TH ST, PHILADELPHIA, PA 19151-3331
(215) 879-2500
(215) 879-6756

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-005657-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1035922
PA
Enumeration date
04/13/2006
Last updated
07/08/2007
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