Provider Demographics
NPI:1700959996
Name:ANTHONY C CATALANO MD PC
Entity Type:Organization
Organization Name:ANTHONY C CATALANO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:CATALANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-286-3584
Mailing Address - Street 1:300 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17801-1640
Mailing Address - Country:US
Mailing Address - Phone:570-286-3584
Mailing Address - Fax:570-286-3587
Practice Address - Street 1:300 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-1640
Practice Address - Country:US
Practice Address - Phone:570-286-3584
Practice Address - Fax:570-286-3587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033059E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA687846Medicare ID - Type Unspecified