Individual
ANTHONY EDWARD DALLALIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8404 BEECHMONT AVE, CINCINNATI, OH 45255-4781
(513) 474-4450
(513) 474-6387
Mailing address
PO BOX 418, CINCINNATI, OH 45103-0418
(513) 474-4450
(513) 474-6387
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000251380
ANTHEM
OH
05
—
0515080
—
OH
01
—
27-01324
UHC
OH
01
—
480034630
RAILROAD MEDICARE
—
Enumeration date
05/31/2005
Last updated
05/20/2010
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