MEDICARE: DR. ANTHONY F SINDONI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	SC001680L	PA

General Provider Information

NPI Number	:	1003806779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY F SINDONI DPM

Provider Business Mailing Address
First Line	:	1422 CHESTNUT ST
Second Line	:	LOBBY FLOOR
City	:	PHILA
State	:	PA
Zip	:	19102-2509
Country	:	US
Telephone Number	:	215-564-0148
Fax Number	:

Provider Business Practice Location Address
First Line	:	1422 CHESTNUT ST
Second Line	:	LOBBY FLOOR
City	:	PHILA
State	:	PA
Zip	:	19102-2509
Country	:	US
Telephone Number	:	215-564-0148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	07/08/2007

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