Individual
ANTHONY DAVID PASSERALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7590 AUBURN RD, PAINESVILLE, OH 44077-9176
(440) 357-8100
Mailing address
7590 AUBURN RD, PAINESVILLE, OH 44077-9176
(440) 357-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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