Individual
ANA ELISA BACILA PANTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5900 W CHESTER RD, WEST CHESTER, OH 45069-2951
(513) 853-7400
(513) 792-5816
Mailing address
30 SHELBURNE RD, WHITTINGHAM PAVILION G419, STAMFORD, CT 06902-3628
(203) 276-7581
(203) 276-7581
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.131255
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H591510
OH MEDICARE
OH
Enumeration date
03/25/2013
Last updated
05/16/2024
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