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Individual

DR. ANTHONY F GUANCIALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9250 BLUE ASH RD, CINCINNATI, OH 45242
(513) 792-7445
(513) 791-4042
Mailing address
PO BOX 636256 PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.062680
OH
207X00000X
Orthopaedic Surgery Physician
35062680G
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
3506280G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0162201
OH
05
162201
OH
01
200024475
RAILROAD MEDICARE
OH
05
200051170
IN
05
64939127
KY
01
H164280
MEDICARE
OH
Enumeration date
05/05/2006
Last updated
12/05/2017
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