Individual
ANTHONY LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 291-0700
(717) 207-8626
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD-071014-L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD071014L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001961850
—
PA
Enumeration date
01/13/2006
Last updated
09/17/2024
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