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Individual

ANTHONY SAMUEL CERAULO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
MEDICAL CENTER BLVD, WAKE FOREST DEPARTMENT OF FAMILY MEDICINE, WINSTON SALEM, NC 27157-0001
(336) 716-2832
Mailing address
720 OLD GASTON PL, WINSTON SALEM, NC 27103-3878

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/02/2015
Last updated
06/02/2015
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