Individual
ANTHONY TANNER CRISAFULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5009 HONEYGO CENTER DR STE 209, PERRY HALL, MD 21128-9842
(443) 725-2150
Mailing address
9 WELLHAVEN CIR APT 1026, GARRISON, MD 21117-5012
(240) 688-9264
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/16/2024
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