Healthcare Provider Details

I. General information

NPI: 1942218813
Provider Name (Legal Business Name): ANTHONY CERRONE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 S YORK ROAD
HATBORO PA
19040-3231
US

IV. Provider business mailing address

43 S YORK ROAD
HATBORO PA
19040-3231
US

V. Phone/Fax

Practice location:
  • Phone: 215-672-1134
  • Fax: 215-672-6548
Mailing address:
  • Phone: 215-672-1134
  • Fax: 215-672-6548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS25589L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: