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Individual

KERT ANZILOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5936 LIMESTONE RD, SUITE 301, HOCKESSIN, DE 19707-8905
(302) 234-5800
(302) 234-2380
Mailing address
5936 LIMESTONE RD, SUITE 301, HOCKESSIN, DE 19707-8905
(302) 234-5800
(302) 234-2380

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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