Individual
DR. ANTHONY PONTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1098 W BALTIMORE PIKE, STE 3305, MEDIA, PA 19063-5139
(610) 566-5236
(610) 891-7135
Mailing address
1098 W BALTIMORE PIKE, STE 3305, MEDIA, PA 19063-5139
(610) 566-5236
(610) 891-7135
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002483L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0932513
—
PA
Enumeration date
03/22/2006
Last updated
07/08/2007
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