Individual
AMY W ANZILOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 FOULK ROAD, SUITE 101, WILMINGTON, DE 19803-3157
(302) 655-3242
(302) 655-5392
Mailing address
PO BOX 191, ROCKLAND, DE 19723-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C10007447
DE
208D00000X
General Practice Physician
C10007447
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136247
—
NJ
05
—
102040993
—
PA
05
—
413092800
—
MD
Enumeration date
06/04/2007
Last updated
10/22/2011
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