Provider Demographics
NPI:1730145293
Name:CINCOTTA, ANTHONY J (DO)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:CINCOTTA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3475 WEST CHESTER PK
Mailing Address - Street 2:STE 200
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073
Mailing Address - Country:US
Mailing Address - Phone:610-356-0300
Mailing Address - Fax:610-356-1981
Practice Address - Street 1:3475 WEST CHESTER PK
Practice Address - Street 2:STE 200
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:610-356-0300
Practice Address - Fax:610-356-1981
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2012-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA05002053L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01634385Medicaid
PA01634385Medicaid
E15156Medicare UPIN