Individual
ANTHONY DALESSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PENN CENTER BLVD, SUITE 602, PITTSBURGH, PA 15235-5613
(412) 823-3782
(412) 823-5041
Mailing address
1901 BUTTERFIELD RD, SUITE 220, DOWNERS GROVE, IL 60515-7915
(630) 725-2768
(630) 725-2783
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
MD056882L
PA
207P00000X
Emergency Medicine Physician
Primary
MD056882L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015373520005
—
PA
01
—
MD056882L
LICENSE NUMBER
PA
Enumeration date
03/03/2006
Last updated
02/25/2009
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