Provider Demographics
NPI:1336261577
Name:CORRENTI, ANTHONY J (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:CORRENTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:764 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-5210
Mailing Address - Country:US
Mailing Address - Phone:603-669-3925
Mailing Address - Fax:603-669-0380
Practice Address - Street 1:764 2ND ST # SY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-5210
Practice Address - Country:US
Practice Address - Phone:603-669-3925
Practice Address - Fax:603-669-0380
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH14338207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist