Individual
ANTHONY MACALUSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN, SUITE A-321, DALLAS, TX 75230-2505
(972) 661-3575
(972) 233-9120
Mailing address
11551 FOREST CENTRAL DR, SUITE 133, DALLAS, TX 75243-3920
(214) 348-5288
(214) 343-3689
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
J6556
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042702301
—
TX
05
—
042702302
—
TX
Enumeration date
07/05/2006
Last updated
04/14/2021
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