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Individual

MR. ANTHONY JAMES ROTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
673 MDG, 5955 ZEAMER AVENUE, JBER, AK 99506-2306
(907) 580-5556
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019047
NY
363AM0700X
Medical Physician Assistant
MA056083
PA
363AM0700X
Medical Physician Assistant
OA003028
PA
363AS0400X
Surgical Physician Assistant
50.003694
OH

Other

Enumeration date
06/12/2012
Last updated
04/25/2018
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