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Individual

DR. ANTHONY M DENICCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-015993L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0048312000
AMERIHEALTH
PA
01
03208501
CAPITAL BLUE CROSS
PA
01
1177183-006
CIGNA
PA
01
2422619
AETNA HMO
PA
01
4100947
AETNA COMMERCIAL PLANS
PA
01
DE062812
HIGHMARK
PA
Enumeration date
06/16/2005
Last updated
07/09/2007
Update your record

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