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Anthony Tanner Crisafulli
Student in an Organized Health Care Education/Training Program in Perry Hall, Maryland
NPI 1770347619

Anthony Tanner Crisafulli is a Student in an Organized Health Care Education/Training Program based in Garrison, MD. Anthony Tanner Crisafulli practices in Perry Hall, MD. The NPI Number for Anthony Tanner Crisafulli is 1770347619 and holds a License No. (Maryland).

The current practice location address for Anthony Tanner Crisafulli is 5009 Honeygo Center Dr Ste 209, Perry Hall, MD and can be reached out via phone at 443-725-2150. You can also correspond with Anthony Tanner Crisafulli through the mailing address at 9 WELLHAVEN CIR APT 1026, GARRISON, MD - 21117-5012 (mailing address contact number: 240-688-9264).

Location: 5009 Honeygo Center Dr Ste 209, Perry Hall, MD, 21117-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770347619
Provider Name
Anthony Tanner Crisafulli
Credential
Provider Entity Type
Individual
Gender
Male
Address
5009 Honeygo Center Dr Ste 209, Perry Hall, MD, 21117-5012
Phone Number
443-725-2150
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5009 Honeygo Center Dr Ste 209
City
Perry Hall
State
Maryland
Zip
21128-9842
Phone Number
443-725-2150
Fax Number
person
Provider Business Mailing Address Details
Address
9 Wellhaven Cir Apt 1026
City
Garrison
State
Maryland
Zip
21117-5012
Phone Number
240-688-9264
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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