Individual
KERT ANZILOTTI
Active
Individual
KERT ANZILOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0007247
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000030421
—
DE
01
—
P00126609
RAILROAD MEDICARE
DE
Enumeration date
03/21/2006
Last updated
10/14/2009
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