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Individual

ANTHONY VITO MAIORIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MS, FAANS, FACS

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
L8424
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1429191
IA
Enumeration date
10/25/2005
Last updated
11/05/2015
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