Individual
GEORGE J PALLOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3567 RESERVE COMMONS, 125, MEDINA, OH 44256-1900
(330) 321-3408
Mailing address
3567 RESERVE COMMONS DR, 125, MEDINA, OH 44256-5323
(330) 321-3408
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
34005341
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866312
—
OH
Enumeration date
07/07/2006
Last updated
07/25/2016
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