Individual
DR. ANTHONY J. GRIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-3254
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07931400
NJ
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
245721
NY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
25MA07931400
NJ
2083X0100X
Occupational Medicine Physician
25MA07931400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02897574
—
NY
05
—
1019612180001
—
PA
01
—
AA0598
MEDICARE GROUP
NY
01
—
GU039851
MEDICARE GROUP
PA
Enumeration date
05/02/2007
Last updated
03/04/2021
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