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Individual

BARTOLOMEO GIANNATTASIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7255 OLD OAK BLVD, C208, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-2708
(440) 243-8480
Mailing address
7255 OLD OAK BLVD, C208, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-2708
(440) 243-8480

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35075324
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35075324
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000355013
ANTHEM BLUE CROSS/BLUE SH
OH
01
106855
KAISER
OH
05
2190392
OH
01
341487428
TAX ID
OH
01
7775149
AETNA
OH
01
91378
QUALCHOICE
OH
01
P00203912
RAILROAD MEDICARE
OH
01
P75324
SUMMACARE
OH
Enumeration date
07/01/2006
Last updated
01/22/2014
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