Provider Demographics
NPI:1255396362
Name:SLIWINSKI, ANTHONY M (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:M
Last Name:SLIWINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9101 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1979
Mailing Address - Country:US
Mailing Address - Phone:804-330-9105
Mailing Address - Fax:804-287-6119
Practice Address - Street 1:9101 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1979
Practice Address - Country:US
Practice Address - Phone:804-330-9105
Practice Address - Fax:804-287-6119
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101 043462208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA44675OtherCARENET
VA45734OtherSENTARA FAMILY CARE
VA59329OtherSOUTHERN HEALTH
VA223850OtherALLIANCE
VA3122673OtherCIGNA
VA642088000-00OtherQUALCHOICE
VA267992994OtherTRICARE
VA790548OtherAETNA HMO
VAC01241OtherMEDICARE GROUP #
VA007500491Medicaid
VACL9160OtherRAILROAD MEDICARE GROUP #
VA1900467OtherUNITED HEALTHCARE
VA340008490OtherRAILROAD MEDICARE
VA4133696OtherAETNA PPO
VAC01241OtherMEDICARE GROUP #