Individual
DR. ANTHONY JAMES COLANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 GROVE STREET, MEADVILLE, PA 16335-2945
(814) 333-5736
(814) 333-5819
Mailing address
1034 GROVE STREET, MEADVILLE, PA 16335-2945
(814) 333-5729
(814) 333-5819
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD421359
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019660890002
—
PA
05
—
0019660980002
—
PA
01
—
01477976
HIGHMARK BLUE SHIELD
PA
01
—
320575
UPMC HEALTH PLAN
PA
Enumeration date
06/09/2006
Last updated
11/29/2016
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