| Doctor Name: | ANTHONY C ANZALONE |
| NPI Number: | 1063417640 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | SC002409L |
| Business Practice Address: | 2400 Maryland Rd Ste 30 Willow Grove, PA - 190901700 |
| Business Phone Number: | 2156594400 |
| Business Fax Number: | |
| Mailing Address: | 2400 Maryland Rd, Ste 30 WILLOW GROVE |
| State: | PA |
| Postal Code: | 190901700 |
| Phone Number: | 2156594400 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 08/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC002409L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |