Anthony John Cordisco
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1003565136
StatusActive
Last updated in NPPESMar 23, 2022
Details
- NPI
- 1003565136
- Entity type
- Individual (NPI-1)
- Name
- Mr. Anthony John Cordisco
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2022
- Certification date
- Mar 23, 2022
- Last updated
- Mar 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
800 Spruce StPhiladelphia, PA 19107-6130
Phone 215-316-5151
Mailing address
800 Spruce StPhiladelphia, PA 19107-6130
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