Individual
DR. ANTONIO G MANOCCHIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
012224
OH
390200000X
Student in an Organized Health Care Education/Training Program
58.004215
OH
Other
Enumeration date
11/24/2011
Last updated
04/07/2022
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