Provider Demographics
NPI:1467689802
Name:MIGLIORE, ANTHONY JOSEPH
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:MIGLIORE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 1501
Mailing Address - Street 2:BOX 1291
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09704-9998
Mailing Address - Country:US
Mailing Address - Phone:719-474-3840
Mailing Address - Fax:
Practice Address - Street 1:PSC 1501
Practice Address - Street 2:BOX 1291
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09704-9998
Practice Address - Country:US
Practice Address - Phone:719-474-3840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians