Provider Information for 1568478675
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Mr. ANTHONY J. MARITATO PT
Sex: Male
NPI: 1568478675
Last Updated: 2020-01-23
Certification Date: 2020-01-23
Certification Date: 2020-01-23
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568478675 | ||||||||||||||||
| Enumeration Date | 2006-07-31 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 20 OVERBROOK DR SUITE D MONROE, OH 45050-3101 United States Phone: 513-420-9999 | Fax:877-430-7975 | ||||||||||||||||
| Primary Practice Address | 20 OVERBROOK DR SUITE D MONROE, OH 45050-3101 United States Phone: 513-539-2886 | Fax:877-430-7975 | ||||||||||||||||
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