Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2949 | OH |
NPI | 1134366990 |
---|---|
Provider Name | Dr. Anthony Michael Abbruzzese |
First Address | Columbus, OH 43204-1302 |
Second Address | Columbus, OH 43204-1302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2009 |
Last Update Date | 15/01/2009 |