Individual
ANITHA ANBALAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8217
Mailing address
1807 W 53RD ST, ERIE, PA 16509-1707
(407) 619-7939
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007460
PA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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