Individual
DR. CHRISTINA PACIO TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 REGENCY CT, STE. 100, TOLEDO, OH 43623-3074
(419) 882-0588
(419) 885-3070
Mailing address
1000 REGENCY CT, STE. 100, TOLEDO, OH 43623-3074
(419) 882-0588
(419) 885-3070
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35084104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000614557
ANTHEM
OH
01
—
04684
PARAMOUNT
OH
01
—
100670
PHYSICIANS HEALTH COLLABO
OH
01
—
202016482
WOOD CARE NET
OH
01
—
202016482028
CARESOURCE
OH
01
—
2402805
UNITED HEALTH
OH
05
—
2532165
—
OH
01
—
341100646
TAXPAYER IDENTIFICATION NUMBER - GROUP
OH
01
—
7228612
AETNA
OH
01
—
728834
BUCKEYE
OH
01
—
P00600624
RAILROAD MEDCIARE
OH
Enumeration date
06/18/2006
Last updated
04/13/2021
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