Provider Demographics
NPI:1093805608
Name:MESSINA, ANTHONY G (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:G
Last Name:MESSINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:926 N CEDAR CREST BLVD APT B926
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3411
Mailing Address - Country:US
Mailing Address - Phone:385-313-4170
Mailing Address - Fax:801-303-6556
Practice Address - Street 1:926 N CEDAR CREST BLVD APT B926
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-3411
Practice Address - Country:US
Practice Address - Phone:385-313-4170
Practice Address - Fax:801-303-6556
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT5221433-1205207L00000X
NY150475207L00000X
PAMD471709207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology