Individual
ANTONIO SORTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(567) 241-7000
(567) 241-7523
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-121749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001049561
—
PA
01
—
171015901
INTERGROUP
PA
01
—
529988
HIGHMARK/KEYSTONE
PA
Enumeration date
01/27/2006
Last updated
01/25/2022
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