Individual
ANTHONY VILLAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
863 W AURORA RD, SAGAMORE HILLS, OH 44067-1603
(330) 468-0190
Mailing address
34600 FOREST LN, SOLON, OH 44139-1436
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35068418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164727
—
OH
01
—
942460636415
CARESOURCE
OH
01
—
P00321162
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/06/2006
Last updated
07/08/2007
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