Anthony Joseph Gugliuzza III
Student in an Organized Health Care Education/Training Program in Windham, ME. Individual provider (NPI-1).
NPI number1043085384
StatusActive
Last updated in NPPESNov 16, 2023
Details
- NPI
- 1043085384
- Entity type
- Individual (NPI-1)
- Name
- Anthony Joseph Gugliuzza III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2023
- Certification date
- Nov 16, 2023
- Last updated
- Nov 16, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
4 Heritage LnWindham, ME 04062-4984
Phone 978-927-0585
Mailing address
4 Heritage LnWindham, ME 04062-4984
Phone 207-523-0430
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Student in an Organized Health Care Education/Training Program providers in Windham, ME
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