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Individual

DR. ANTHONY JOSEPH MUFFOLETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K9854
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
K9854
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040029303
TX
05
040029304
TX
05
040029305
TX
05
040029306
TX
05
040029307
TX
01
5521704
AETNA
TX
01
610119705
US DEPT OF LABOR
TX
01
8BP175
BLUE CROSS BLUE SHIELD
TX
01
P00732782
RAILROAD MEDICARE
TX
01
P01070710
RR MEDICARE
TX
Enumeration date
08/31/2006
Last updated
11/16/2023
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