Individual
DR. ANTHONY ITALO SQUILLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
513 PARNASSUS AVE RM S-321, SAN FRANCISCO, CA 94143-2205
(415) 476-1239
Mailing address
513 PARNASSUS AVE RM S-321, SAN FRANCISCO, CA 94143-2205
(415) 476-1239
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
150627
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/07/2015
Last updated
05/05/2019
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