Basic Information
| Provider Information | |||||||||
| NPI: | 1245736925 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COCCIOLONE | ||||||||
| FirstName: | ANTHONY | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 225 NICHOLLS HILL RD | ||||||||
| Address2: | |||||||||
| City: | ROSTRAVER TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150123713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249292848 | ||||||||
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| Practice Location | |||||||||
| Address1: | 532 W PITTSBURGH ST | ||||||||
| Address2: | |||||||||
| City: | GREENSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156012239 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7248324000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2018 | ||||||||
| LastUpdateDate: | 08/30/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | OS021256 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.