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Individual

WILLIAM ANTHONY EMANUELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MB09875400
NJ
208000000X
Pediatrics Physician
Primary
25MB09875400
NJ
208000000X
Pediatrics Physician
C20011742
DE
208000000X
Pediatrics Physician
OS016839
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103258115
PA
05
1159984-00
MD
Enumeration date
10/24/2013
Last updated
04/25/2017
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