| Dr Anthony Joseph Dicesaro Iii, DC | |
|
4500 Clairton Blvd, Pittsburgh, PA 15236 | |
| (412) 885-2929 | |
| (412) 379-0047 |
| Full Name | Dr Anthony Joseph Dicesaro Iii |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 4500 Clairton Blvd, Pittsburgh, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407805518 | NPI | - | NPPES |
| 559423 | Other | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC006431L (Pennsylvania) | Primary |
| Provider Name | A.j. Dicesaro Dc, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558697011 PECOS PAC ID: 4183657786 Enrollment ID: O20110302000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Joseph Dicesaro Iii, DC 4500 Clairton Blvd, Pittsburgh, PA 15236 Ph: (412) 885-2929 | Dr Anthony Joseph Dicesaro Iii, DC 4500 Clairton Blvd, Pittsburgh, PA 15236 Ph: (412) 885-2929 |
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