Individual
ANTHONY J. CIAVARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23250 MERCANTILE RD, SUITE 100, BEACHWOOD, OH 44122-5928
(216) 831-7855
(216) 831-5320
Mailing address
23250 MERCANTILE RD, SUITE 100, BEACHWOOD, OH 44122-5928
(216) 831-7855
(216) 831-5320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001162
OH
Other
Enumeration date
12/01/2006
Last updated
03/05/2012
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