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Individual
DR. WALTER J PASSARELLO
Active
Individual
DR. WALTER J PASSARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139454
ANTHEM BC/BS
OH
01
—
000000507817
ANTHEM
—
05
—
2101120
—
OH
Enumeration date
08/30/2005
Last updated
08/26/2014
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