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Individual

DR. ANTHONY ANDREW MASCIOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
43887
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09400003
MS
05
100169190
MS
05
1508545
TN
05
170011001
AR
Enumeration date
06/15/2007
Last updated
10/05/2022
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