Individual
JOHN ANTHONY PANUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25761 LORAIN RD, 3RD FL, NORTH OLMSTED, OH 44070
(440) 779-1112
(440) 779-0247
Mailing address
25761 LORAIN RD, 3RD FL, NORTH OLMSTED, OH 44070
(440) 779-1112
(440) 779-0247
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35059393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959655
—
OH
01
—
110093482
MEDICARE RAILROAD
OH
Enumeration date
09/22/2006
Last updated
10/10/2014
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