Anthony J Comerota
Vascular Surgeon
2921 Telestar Ct
Falls Church
, Virginia 22042-1205
Anthony J Comerota
Vascular Surgeon
2921 Telestar Ct
Falls Church
, Virginia 22042-1205
(571) 423-5698
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Anthony J Comerota
- Po Box 37174
- Baltimore, MD
- Zip : 21297-3174
- Fax : (571) 423-5698
- Phone : (571) 423-5699
Second Address
- Anthony J Comerota
- 2921 Telestar Ct
- Falls Church, VA
- Zip : 22042-1205
- Fax : (703) 849-0874
- Phone : (703) 280-5858
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 0101263955 | VA |
National Provider Identifier
| NPI | 1083610950 |
|---|---|
| Provider Name | Anthony J Comerota |
| First Address | Baltimore, MD 21297-3174 |
| Second Address | Falls Church, VA 22042-1205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2005 |
| Last Update Date | 27/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000250121 | ANHTEM MEDICAID (01) | OH |
| 000000250121 | ANTHEM (01) | OH |
| 04225 | PARMOUNT (01) | OH |
| 0453254 | (05) | OH |
| 142215 | CARE CHOICE (01) | OH |
| 344428256 | BEECH STREET (01) | CA |
| 344428256 | EMERALD (01) | OH |
| 344428256 | FRONTPATH (01) | OH |
| 344428256011 | BWC (01) | OH |
| 344428256036 | HEALTHNET (01) | OH |
| 4202913 | AETNA (01) | OH |
| 4433576 | (05) | MI |
| 4433600 | (05) | MI |
| 7218526 | CIGNA (01) | OH |
| B40157 | (02) | OH |
| PH00102397 | NATIONWIDE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.