Individual
MR. ANTHONY CERUNDOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CSCS
Contact information
Practice address
1 COLLEGE ST, WORCESTER, MA 01610-2322
(508) 793-2644
(508) 793-3974
Mailing address
9 LONGFELLOW RD, WORCESTER, MA 01602-2715
(508) 793-2644
(508) 793-3974
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
646
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRIANER
MA
Enumeration date
02/21/2007
Last updated
07/08/2007
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