Individual
DR. ANTHONY JOHN VISALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
109 FOREST VALLEY DR, FOREST HILL, MD 21050-2831
(410) 838-0101
(410) 893-3343
Mailing address
19 BEECHAM CT, SUITE 204, OWINGS MILLS, MD 21117-6001
(410) 654-8602
(410) 654-8709
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01075
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020188000
—
MD
Enumeration date
08/19/2006
Last updated
09/16/2016
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