Individual
DR. ERNEST DEPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1350 E MARKET ST, WARREN, OH 44483-6608
(330) 841-9011
Mailing address
1350 E MARKET ST, WARREN, OH 44483-6608
(330) 841-9011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-00-2982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428568
—
OH
Enumeration date
09/02/2005
Last updated
12/31/2013
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