Provider Demographics
NPI:1578911251
Name:ANELLO, ERIC (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:ANELLO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:16617-2018
Mailing Address - Country:US
Mailing Address - Phone:814-207-3949
Mailing Address - Fax:
Practice Address - Street 1:815 E 5TH ST
Practice Address - Street 2:
Practice Address - City:BELLWOOD
Practice Address - State:PA
Practice Address - Zip Code:16617-2018
Practice Address - Country:US
Practice Address - Phone:814-207-3949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical