Individual
THOMAS A STELLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 SOUTH GREEN ROAD, SUITE 200, SOUTH EUCLID, OH 44121
(216) 297-3223
(216) 297-3225
Mailing address
1611 SOUTH GREEN ROAD, SUITE 200, SOUTH EUCLID, OH 44121
(216) 297-3223
(216) 297-3225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-040257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000621883
ANTHEM
OH
05
—
0421994
—
OH
01
—
364045
WELLCARE
OH
Enumeration date
07/19/2006
Last updated
08/13/2009
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