Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD026590E | PA |
NPI | 1275590309 |
---|---|
Provider Name | Dr. Anthony R Ulizio |
First Address | Allison Park, PA 15101-9998 |
Second Address | Pittsburgh, PA 15215-3247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 27/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1028777 | (05) | PA |
B37212 | (02) | PA |