Healthcare Provider Details

I. General information

NPI: 1295359594
Provider Name (Legal Business Name): ANTHONY PATRICK ALLSBROOK DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST
FOUNTAIN HILL PA
18015-1155
US

IV. Provider business mailing address

1211 21ST AVE S STE 4040
NASHVILLE TN
37212-2717
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-2200
  • Fax:
Mailing address:
  • Phone: 615-936-0083
  • Fax: 615-936-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOT019870
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: