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Individual

DR. ANTHONY FEDELE DIGIANNANTONIO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 S STANFIELD RD, TROY, OH 45373-2331
(937) 335-5991
(937) 440-4288
Mailing address
2790 HICKORYWOOD DR, TROY, OH 45373-4384
(937) 339-1545
(937) 339-7431

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35042619D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0410595
OH
Enumeration date
09/23/2005
Last updated
07/09/2007
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