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ANTHONY RAYMOND MAGGIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7000
Mailing address
7000 CHARLESTON OAKS DR N, MOBILE, AL 36695-2518
(251) 634-4260

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.28167
AL
207R00000X
Internal Medicine Physician
MD.28167
AL
208M00000X
Hospitalist Physician
MD.28167
AL
208VP0000X
Pain Medicine Physician
Primary
51925
SC
208VP0000X
Pain Medicine Physician
MD.28167
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009910644
AL
05
009910646
AL
05
009910652
AL
05
009910708
AL
05
009910822
AL
05
009910862
AL
01
1265593453
TRICARE SOUTH
AL
01
510-06192
BCBS
AL
01
510-06194
BCBS
AL
01
510-06196
BCBS
AL
01
515-42324
BCBS
AL
01
515-42325
BCBS
AL
01
515-97597
BCBS
AL
Enumeration date
12/12/2006
Last updated
02/25/2019
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