Provider Demographics
NPI:1285970491
Name:MARSEY, TONY MARSILIO
Entity type:Individual
Prefix:MR
First Name:TONY
Middle Name:MARSILIO
Last Name:MARSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3427 KENSINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5626
Mailing Address - Country:US
Mailing Address - Phone:916-259-3497
Mailing Address - Fax:
Practice Address - Street 1:3427 KENSINGTON CT
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5626
Practice Address - Country:US
Practice Address - Phone:916-259-3497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-14
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist