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Individual

ANNE L PALUMBO

Active
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Individual

ANNE L PALUMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036101964
IL
207RI0200X
Infectious Disease Physician
3368
IA
207RI0200X
Infectious Disease Physician
Primary
OS008197L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036101964
IL
05
0418517
IA
01
084958
HEALTH ALLIANCE
01
1305894
CONTROLLED SUBSTANCE#
IA
01
13403
BC/BS OF IA
IA
01
8122859
IL BC/BS
IL
01
G19598
UPIN
01
IA01A1
JOHN DEERE EDI#
IA
Enumeration date
09/21/2005
Last updated
03/07/2023
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