Dr. Charles Benjamin Anzalone, DO
Student in an Organized Health Care Education/Training Program in Jefferson, LA. Individual provider (NPI-1).
NPI number1497546121
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1497546121
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Benjamin Anzalone
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 13, 2025
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1401a Jefferson HwyJefferson, LA 70121-2426
Phone 504-842-3260 · Fax 504-842-3193
Mailing address
6151 W End BlvdNew Orleans, LA 70124-2054
Phone 985-351-8534
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All 214 Student in an Organized Health Care Education/Training Program providers in Jefferson · All 754 providers in Jefferson
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