Individual
MR. ANTHONY MACINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3140 W SYLVANIA AVE, TOLEDO, OH 43613-4133
(419) 824-5063
(419) 824-0216
Mailing address
3140 W SYLVANIA AVE, TOLEDO, OH 43613-4133
(419) 824-5063
(419) 824-0216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203316143002
MEDICAL MUTUAL OF OHIO
OH
05
—
2638186
—
OH
Enumeration date
10/06/2006
Last updated
07/08/2007
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