Individual
ANTHONY J. GAGLIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
779 W SPROUL RD, SPRINGFIELD, PA 19064-1215
(484) 470-2150
(610) 328-9283
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002335
DE
225100000X
Physical Therapist
Primary
PT008422L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000643670
BLUE SHIELD
PA
01
—
0237454000
BLUE CROSS
PA
01
—
0237454000
IBC AMERIHEALTH
—
01
—
11842861
CAQH
—
01
—
1649210626
CHAMPUS TRICARE
—
05
—
1649210626
—
DE
01
—
5070-0097
GHMSI
—
01
—
650021486
RAILROAD MEDICARE
PA
01
—
93779901
CAREFIRST OF MD
—
Enumeration date
06/07/2006
Last updated
12/19/2024
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