Individual
DR. ANNUNZIATO GAROFALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8216 E MARKET ST, WARREN, OH 44484-2337
(330) 856-4089
(330) 425-1615
Mailing address
1512 WAYNESBORO DR, HUDSON, OH 44236-5333
(330) 425-1615
(330) 425-1615
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5308 T2217
OH
3336S0011X
Specialty Pharmacy
03225298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000242340
ANTHEM
OH
Enumeration date
04/04/2007
Last updated
09/05/2017
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