IndividualActive
Anthony Anzalone, DPM
NPI 1063417640 · Foot & Ankle Surgery Podiatrist · Willow Grove, PA
Provider details
- NPI number
- 1063417640
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- SC002409L (PA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2400 Maryland Rd
Ste 30
Willow Grove, PA 19090-1700
Phone: (215) 659-4400
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Maryland Rd
Willow Grove, PA 19090-1700
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2012-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.