Individual
ANTHONY MANCUSO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
740 S LIMESTONE STE D135, LEXINGTON, KY 40536-2603
(859) 323-5533
(859) 257-3634
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-6553
(419) 251-9672
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TP812
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2017
Last updated
06/15/2022
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