Individual
DR. ANTHONY VALENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
149 N VINE ST, HAZLETON, PA 18201-5852
(570) 455-0923
(570) 455-4034
Mailing address
12 W 17TH ST, HAZLETON, PA 18201-2503
(570) 455-0923
(570) 455-4034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042324L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
653384
BLUE SHIELD
PA
Enumeration date
06/28/2006
Last updated
07/08/2007
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