Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A93566 | CA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | A93566 | CA |
NPI | 1114011608 |
---|---|
Provider Name | Dr. Anthony Edward Wartell |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Carmichael, CA 95608-0306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 29/09/2014 |