Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 171345 | NY |
N | 207RG0100X | Gastroenterologist | G71057 | CA |
NPI | 1215910187 |
---|---|
Provider Name | Dr. Anthony Paul Albanese |
First Address | Mather, CA 95655-4200 |
Second Address | Mather, CA 95655-4200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E20420 | (02) |