IndividualActive
Anthony Di Natale, MD
NPI 1366112005 · Pediatric Surgery Physician · Philadelphia, PA
Provider details
- NPI number
- 1366112005
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- LT000875 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Division of Pediatric Surgery
Philadelphia, PA 19104-3820
Phone: (215) 590-5294
Approximate (ZIP-level) locationGet directions
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-3820
Registry dates
- Enumerated
- 2021-09-15
- Last updated
- 2021-09-15
- Certified
- 2021-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.