Individual
MICHAEL ROBERT PASCOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8423 MARKET ST, STE 205, BOARDMAN, OH 44512-6778
(330) 729-1934
(330) 729-1861
Mailing address
8423 MARKET ST, STE 205, BOARDMAN, OH 44512-6778
(330) 729-1934
(330) 729-1861
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
34010076
OH
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
OS014037
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121160
—
OH
01
—
H052140
MEDICARE PTAN
OH
Enumeration date
06/02/2008
Last updated
12/29/2016
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