Individual
MICHAEL ANTHONY POLICASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 QUEEN CITY AVE, CINCINNATI, OH 45238-2316
(513) 557-3333
(513) 557-3332
Mailing address
6885 SWEETFARM LN, LOVELAND, OH 45140-6064
(513) 774-0914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01091676A
IN
207P00000X
Emergency Medicine Physician
Primary
35082976
OH
207P00000X
Emergency Medicine Physician
C175786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2501037
—
OH
Enumeration date
06/22/2005
Last updated
12/21/2023
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