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Individual

ANTHONY J CULOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 FAIRMOUNT AVE, SUITE 312, PASADENA, CA 91105-3150
(626) 568-8838
(626) 583-8838
Mailing address
100 E CALIFORNIA BLVD, SUITE 312, PASADENA, CA 91105-3205
(626) 568-8838
(626) 583-8838

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
025662
LA
207W00000X
Ophthalmology Physician
061228
GA
207W00000X
Ophthalmology Physician
Primary
A97142
CA

Other

Enumeration date
06/18/2006
Last updated
08/10/2016
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