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Individual
MATTHEW A PASSALACQUA
Active
Individual
MATTHEW A PASSALACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
34005244
OH
207UN0901X
Nuclear Cardiology Physician
34005244
OH
207UN0902X
Nuclear Imaging & Therapy Physician
34005244
OH
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
34005244
OH
2085B0100X
Body Imaging Physician
34005244
OH
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
34005244
OH
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
34005244
OH
2085N0700X
Neuroradiology Physician
34005244
OH
2085N0904X
Nuclear Radiology Physician
34005244
OH
2085P0229X
Pediatric Radiology Physician
34005244
OH
2085R0001X
Radiation Oncology Physician
34005244
OH
2085R0202X
Diagnostic Radiology Physician
34005244
OH
2085R0203X
Therapeutic Radiology Physician
34005244
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
34005244P
OH
2085U0001X
Diagnostic Ultrasound Physician
34005244
OH
Other
Enumeration date
11/25/2005
Last updated
10/30/2013
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