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NPI Code Detail

MEDICARE: ANTHONY J MOBILE

MEDICARE:   ANTHONY J MOBILE
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1679940621
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY J MOBILE
Provider Business Mailing Address
First Line : 821 W KINGS HWY
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-1714
Country : US
Telephone Number : 610-500-4301
Fax Number :
Provider Business Practice Location Address
First Line : 821 W KINGS HWY
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-1714
Country : US
Telephone Number : 610-500-4301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2015
Last Update Date : 07/21/2016

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Directions to “ ANTHONY J MOBILE ” Practice Location

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