Individual
DR. ANTHONY REALINI
Active
Individual
DR. ANTHONY REALINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21262
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004254000
—
WV
01
—
C31473
RAILROAD MEDICARE GROUP #
WV
01
—
P00087531
RAILROAD MEDICARE
WV
Enumeration date
03/08/2006
Last updated
04/12/2022
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