Anthony Tanner Crisafulli

NPI #1770347619 in Perry Hall, Maryland

Provider Information

NPI Number: 1770347619
Entity Type: Individual
Name: Anthony Tanner Crisafulli
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 12, 2024
Last Updated: Feb 16, 2024

Practice Location

Address: 5009 HONEYGO CENTER DR STE 209
City: Perry Hall
State: Maryland
ZIP Code: 21128-9842
Phone: (443) 725-2150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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