Individual
JOHN A DISABATO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 ARCH ST, SUITE 002, AKRON, OH 44304-1429
(330) 375-3584
(330) 375-6306
Mailing address
525 E MARKET ST, ANNEX 3, AKRON, OH 44304-1619
(330) 375-7512
(330) 375-3445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-05-7534
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0933922
—
OH
Enumeration date
04/21/2006
Last updated
07/08/2007
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