Individual provider · Type 1 NPI

Anthony James Rotello

Medical Physician Assistant · Jber, AK

NPI number 1699037945 Active

Practice location

673 Mdg, 5955 Zeamer Avenue
Jber, AK 99506-2306

Mailing address

251 Salina Meadows Pkwy, Ste 100
Syracuse, NY 13212-4516

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA056083 (PA)
Medical Physician Assistant 363AM0700XOA003028 (PA)
Surgical Physician Assistant 363AS0400X50.003694 (OH)
Medical Physician Assistant Primary 363AM0700X019047 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1699037945

Anthony James Rotello's National Provider Identifier is 1699037945, issued on Jun 12, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jber, AK. The record was last updated on Apr 25, 2018.