Provider Demographics
NPI:1528050168
Name:UBERTI, ANTHONY FREDERICK (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:FREDERICK
Last Name:UBERTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3438 STATE ROUTE 208
Mailing Address - Street 2:
Mailing Address - City:NEW WILMINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16142-1012
Mailing Address - Country:US
Mailing Address - Phone:724-946-8979
Mailing Address - Fax:724-946-2938
Practice Address - Street 1:3438 STATE ROUTE 208
Practice Address - Street 2:
Practice Address - City:NEW WILMINGTON
Practice Address - State:PA
Practice Address - Zip Code:16142-1012
Practice Address - Country:US
Practice Address - Phone:724-946-8979
Practice Address - Fax:724-946-2938
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050872L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102907OtherUPMC HEALTH PLAN
PA01033669OtherUNITED HEATHCARE
OH000000115283OtherANTHEM BC/BS
PA0014818740001Medicaid
PA417752OtherHIGHMARK BC/BS
PA417752N30Medicare PIN
OH000000115283OtherANTHEM BC/BS