Individual
DR. ANTONIO G MANOCCHIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3200
Mailing address
7277 SMITHS MILL RD, STE 200, NEW ALBANY, OH 43054-8195
(614) 304-2122
(614) 221-9042
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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