Provider Demographics
NPI:1962950915
Name:CEDENO, ANTHONY II
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:CEDENO
Suffix:II
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 1:12 PARTRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-3220
Mailing Address - Country:US
Mailing Address - Phone:774-487-4081
Mailing Address - Fax:
Practice Address - Street 1:12 PARTRIDGE WAY
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-3220
Practice Address - Country:US
Practice Address - Phone:774-487-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker