Active NPIIndividual providerSole proprietor

Mr. Anthony Cerundolo, MS, ATC, LAT, CSCS

Specialist/Technologist, Athletic Trainer in Worcester, Massachusetts

NPI Number1346385606
Practice location
1 College St, Worcester, MA 01610-2322
Fax
508-793-3974
Last updated
July 8, 2007

Anthony Cerundolo is a Specialist/Technologist, Athletic Trainer based in Worcester, MA. Anthony Cerundolo practices in Worcester, MA and has the professional credentials of MS, ATC, LAT, CSCS. The NPI Number for Anthony Cerundolo is 1346385606 and holds a License No. 646 (MA). The current practice location address for Anthony Cerundolo is 1 College St, Worcester, MA 01610-2322 and can be reached out via phone at 508-793-2644 and via fax at 508-793-3974.

Provider Profile Details

NPI Number
1346385606
Provider Name
Anthony Cerundolo
Credential
MS, ATC, LAT, CSCS
Provider Entity Type
Individual
Gender
Male
Address
1 College St, Worcester, MA 01610-2322
Phone Number
508-793-2644
Fax Number
508-793-3974
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 College St
Worcester, MA 01610-2322
Zip
01610-2322
Phone Number
508-793-2644
Fax Number
508-793-3974
Worcester, MA 01610Get directions →

Provider Business Mailing Address Details

Address
9 Longfellow RD
Worcester, MA 01602-2715
City
Worcester
State
MA
Zip
01602-2715
Phone Number
508-793-2644
Fax Number
508-793-3974

License Information

License Number
646
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Anthony Cerundolo, MS, ATC, LAT, CSCS?

The NPI number of Mr. Anthony Cerundolo, MS, ATC, LAT, CSCS is 1346385606. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Anthony Cerundolo, MS, ATC, LAT, CSCS?

Mr. Anthony Cerundolo, MS, ATC, LAT, CSCS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 646.

Where does Mr. Anthony Cerundolo, MS, ATC, LAT, CSCS practice?

The practice location is 1 College St, Worcester, MA 01610-2322. The office can be reached at 508-793-2644 (phone) or 508-793-3974 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346385606 directly on the NPPES registry website.

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